Missed and mismanaged: severe consequences of Morel Lavallee lesions-a case series.

IF 0.5 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-09-14 eCollection Date: 2025-09-01 DOI:10.1093/jscr/rjaf731
Hamad AlJuwied, Dalal AlNajadah, Zahraa Mostafa, Ali Ashraf, Ali Jarragh, Ali Lari
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引用次数: 0

Abstract

Morel-Lavallée lesions (MLLs) are rare soft tissue injuries that, when missed or mismanaged, can lead to serious complications. This retrospective case series analyzed seven male patients (aged 26-64) who sustained MLLs from high-velocity trauma. Initial management, often limited to aspiration, failed in most cases, leading to delayed surgical intervention (mean 25.7 days post-injury) and an average of 2.6 surgeries per patient. Complications included skin necrosis (n = 5), grafting (n = 4), and infection in all cases, most commonly Staphylococcus aureus. One patient died from cardiogenic and septic shock. These findings highlight that delayed recognition and conservative treatment often result in prolonged morbidity, whereas early surgical debridement and proper closure may significantly improve outcomes.

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疏忽和管理不善:莫雷尔拉瓦利病变的严重后果-一个病例系列。
morel - lavall病变(mls)是罕见的软组织损伤,如果错过或处理不当,可导致严重的并发症。本研究回顾性分析了7例因高速创伤导致mls的男性患者(年龄26-64岁)。在大多数病例中,最初的治疗通常仅限于抽吸,但失败了,导致手术干预延迟(平均伤后25.7天),平均每位患者进行2.6次手术。并发症包括皮肤坏死(n = 5)、移植(n = 4)和所有病例的感染,最常见的是金黄色葡萄球菌。1例患者死于心源性和感染性休克。这些发现强调,延迟识别和保守治疗往往导致延长发病率,而早期手术清创和适当关闭可能显著改善结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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