دورية أكاديمية
Huge scalp Morel-Lavallée lesion with eye involvement in a 3-year-old girl: a case report.
| العنوان: | Huge scalp Morel-Lavallée lesion with eye involvement in a 3-year-old girl: a case report. |
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| المؤلفون: | Masumbuko CK; Department of Surgery, Cliniques Universitaires du Graben, Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of Congo., Bunduki GK; Department of Infectious Diseases, Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of Congo. gabriel.bunduki@gmail.com., Mumbere M; Department of Paediatrics, Cliniques Universitaires du Graben, Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of Congo. |
| المصدر: | Journal of medical case reports [J Med Case Rep] 2021 Jul 19; Vol. 15 (1), pp. 383. Date of Electronic Publication: 2021 Jul 19. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101293382 Publication Model: Electronic Cited Medium: Internet ISSN: 1752-1947 (Electronic) Linking ISSN: 17521947 NLM ISO Abbreviation: J Med Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, [2007- |
| مواضيع طبية MeSH: | Scalp* , Soft Tissue Injuries*/diagnostic imaging, Child, Preschool ; Drainage ; Female ; Humans ; Magnetic Resonance Imaging ; Radiography |
| مستخلص: | Background: Morel-Lavallée lesions are posttraumatic, closed degloving injuries in which the skin and subcutaneous tissue are separated abruptly from superficial underlying fascia. This condition leads to an effusion containing hemolymph and necrotic fat. Magnetic resonance imaging, when available, is the modality of choice in the evaluation of Morel-Lavallée lesion. Early diagnosis and management is essential as any delay in diagnosis or missed lesion will lead to the effusion becoming infected or leading to extensive skin necrosis. We present a condition of a Morel-Lavallée lesion involving the scalp and complicated by conjunctival chemosis. Case Presentation: We report on a 3-year-old black African girl who presented a fluctuant swelling of entire scalp, extending to upper part of the face on the seventh day after a forehead trauma due to falling on a rock while playing. Skull x-ray revealed soft-tissue swelling, giving an impression of large fluid collection in the deep subcutaneous tissues with no bone fracture. A diagnosis of Morel-Lavallée lesion of the scalp complicated by conjunctival chemosis was made. The patient was managed with percutaneous drainage and compression bandage. The patient improved well and was subsequently discharged without any vision impairment. There was no recurrence of the lesion on follow-up. Conclusions: The Morel-Lavallée lesion of the scalp complicated with conjunctival chemosis is a rare presentation of this condition. Prompt diagnosis and management are crucial for preventing complications. Image-guided diagnosis and treatment still remain a challenge in the setting of low-resource health facilities. (© 2021. The Author(s).) |
| References: | Magn Reson Imaging Clin N Am. 2005 Nov;13(4):775-82. (PMID: 16275583) Skeletal Radiol. 2007 Jun;36 Suppl 1:S43-5. (PMID: 16791630) World J Emerg Surg. 2013 Dec 30;8(1):60. (PMID: 24377750) Emerg Med J. 2012 May;29(5):433. (PMID: 22011974) J Orthop. 2018 Aug 28;15(4):917-921. (PMID: 30190632) Orthop Clin North Am. 2016 Jan;47(1):115-25. (PMID: 26614926) J Bone Joint Surg Am. 2011 Dec 21;93(24):e148. (PMID: 22258783) J Orthop Trauma. 2007 Feb;21(2):140-4. (PMID: 17304071) Arch Orthop Trauma Surg. 2013 May;133(5):635-40. (PMID: 23443527) J Trauma. 1997 Jun;42(6):1046-51. (PMID: 9210539) Am J Sports Med. 2007 Jul;35(7):1162-7. (PMID: 17351119) |
| فهرسة مساهمة: | Keywords: Case report; Closed degloving injury; Conjunctival chemosis; Eye; Morel-Lavallée lesion; Scalp |
| تواريخ الأحداث: | Date Created: 20210720 Date Completed: 20210721 Latest Revision: 20210723 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8287818 |
| DOI: | 10.1186/s13256-021-02891-6 |
| PMID: | 34281601 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1752-1947 |
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| DOI: | 10.1186/s13256-021-02891-6 |