{"title":"莫雷尔-拉瓦雷血清肿:秘鲁马努的病例报告,以及初级保健的诊断和处理。","authors":"Percy J. Vásquez-Paredes","doi":"10.1016/j.appr.2024.100212","DOIUrl":null,"url":null,"abstract":"<div><div>The Morel-Lavallée lesion is a post-traumatic fluid accumulation between fascial layers, commonly following an accident. Its diagnosis is based on clinical history and imaging tests, and treatment ranges from conservative measures to surgical interventions and sclerotherapy, depending on the age and size of the lesion. Effective management is crucial to prevent long-term complications. This report presents a 38-year-old male who suffered a knee contusion from falling off his parked motorcycle, developing a fluctuating mass and moderate pain. Initially treated with paracetamol, the lesion grew to 7 x 7 x 5.5 cm, requiring medical attention. It was confirmed by radiography and surgically drained, releasing serohematic fluid. The treatment included rest, limb elevation, and NSAIDs, showing significant improvement. This case underscores the importance of early diagnosis and proper management of Morel-Lavallée lesions to prevent long-term complications.</div></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Seroma de Morel-Lavallée: reporte de caso desde Manu, Perú, con diagnóstico y manejo en atención primaria\",\"authors\":\"Percy J. Vásquez-Paredes\",\"doi\":\"10.1016/j.appr.2024.100212\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The Morel-Lavallée lesion is a post-traumatic fluid accumulation between fascial layers, commonly following an accident. Its diagnosis is based on clinical history and imaging tests, and treatment ranges from conservative measures to surgical interventions and sclerotherapy, depending on the age and size of the lesion. Effective management is crucial to prevent long-term complications. This report presents a 38-year-old male who suffered a knee contusion from falling off his parked motorcycle, developing a fluctuating mass and moderate pain. Initially treated with paracetamol, the lesion grew to 7 x 7 x 5.5 cm, requiring medical attention. It was confirmed by radiography and surgically drained, releasing serohematic fluid. The treatment included rest, limb elevation, and NSAIDs, showing significant improvement. This case underscores the importance of early diagnosis and proper management of Morel-Lavallée lesions to prevent long-term complications.</div></div>\",\"PeriodicalId\":52231,\"journal\":{\"name\":\"Atencion Primaria Practica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Atencion Primaria Practica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2605073024000221\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Atencion Primaria Practica","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2605073024000221","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
莫雷尔-拉瓦雷病变是一种创伤后筋膜层间的液体积聚,通常发生在事故之后。其诊断依据的是临床病史和影像学检查,治疗方法包括保守治疗、手术治疗和硬化疗法,具体取决于患者的年龄和病变的大小。有效的治疗对于预防长期并发症至关重要。本报告中的患者是一名 38 岁的男性,他从停放在路边的摩托车上摔下,造成膝关节挫伤,出现波动性肿块和中度疼痛。起初使用扑热息痛进行治疗,后来肿块增大到 7 x 7 x 5.5 厘米,需要就医。经放射线检查确认后,进行了手术引流,排出了血清液。治疗包括休息、抬高肢体和服用非甾体抗炎药,效果明显好转。本病例强调了早期诊断和妥善处理莫雷尔-拉瓦雷病变以预防长期并发症的重要性。
Seroma de Morel-Lavallée: reporte de caso desde Manu, Perú, con diagnóstico y manejo en atención primaria
The Morel-Lavallée lesion is a post-traumatic fluid accumulation between fascial layers, commonly following an accident. Its diagnosis is based on clinical history and imaging tests, and treatment ranges from conservative measures to surgical interventions and sclerotherapy, depending on the age and size of the lesion. Effective management is crucial to prevent long-term complications. This report presents a 38-year-old male who suffered a knee contusion from falling off his parked motorcycle, developing a fluctuating mass and moderate pain. Initially treated with paracetamol, the lesion grew to 7 x 7 x 5.5 cm, requiring medical attention. It was confirmed by radiography and surgically drained, releasing serohematic fluid. The treatment included rest, limb elevation, and NSAIDs, showing significant improvement. This case underscores the importance of early diagnosis and proper management of Morel-Lavallée lesions to prevent long-term complications.