Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts
Morel-Lavallée lesions (MLL) create pre-fascial space by shearing the subcutaneous tissues away from the underlying fascia, in a patient with trauma. Necrosis of the overlying skin can develop over a wide area of the lesion. The lesion might be contaminated by the surgical site due to careless intru...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Medrang
2020-09-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200027 |
| _version_ | 1818964636400091136 |
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| author | Sungwoo Cho Sangchul Yun Sung Hun Won Dong-Il Chun Chul Han Kim Byoung Won Park |
| author_facet | Sungwoo Cho Sangchul Yun Sung Hun Won Dong-Il Chun Chul Han Kim Byoung Won Park |
| author_sort | Sungwoo Cho |
| collection | DOAJ |
| description | Morel-Lavallée lesions (MLL) create pre-fascial space by shearing the subcutaneous tissues away from the underlying fascia, in a patient with trauma. Necrosis of the overlying skin can develop over a wide area of the lesion. The lesion might be contaminated by the surgical site due to careless intrusion when treating the combined arteriopathy. A 70-year-old woman presented with avulsion of the skin over the right foot and bilateral leg pain following a car accident. Computed tomography showed bilateral popliteal artery occlusion with large hematoma on both legs. Percutaneous angioplasty was performed with successful restoration of the flow. However, the skin color changes over time. Necrosis of the skin occurred over a wide area of the right leg. Extensive debridement was performed, and the defect was covered with a skin graft. MLLs can occur in patients with multiple traumas, multiple vascular injuries, and complex skeletal injury. Vascular surgeons treating multiple traumas should be aware of the diagnostic and management options for MLL. It should be diagnosed early because it can be difficult to manage once the overlying skin develops necrosis. |
| first_indexed | 2024-12-20T13:04:16Z |
| format | Article |
| id | doaj.art-ed5f725521ed49629b27ae6ae9702f88 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-20T13:04:16Z |
| publishDate | 2020-09-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-ed5f725521ed49629b27ae6ae9702f882022-12-21T19:39:50ZengMedrangVascular Specialist International2288-79702020-09-0136317417910.5758/vsi.200027vsi.200027Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin GraftsSungwoo Cho0Sangchul Yun1Sung Hun Won2Dong-Il Chun3Chul Han Kim4Byoung Won Park5Departments of Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaDepartments of Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaDepartments of Orthopedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaDepartments of Orthopedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaDepartments of Plastic Surgery, Soonchunhyang University Seoul Hospital, Seoul, KoreaDepartments of Cardiology, Soonchunhyang University Seoul Hospital, Seoul, KoreaMorel-Lavallée lesions (MLL) create pre-fascial space by shearing the subcutaneous tissues away from the underlying fascia, in a patient with trauma. Necrosis of the overlying skin can develop over a wide area of the lesion. The lesion might be contaminated by the surgical site due to careless intrusion when treating the combined arteriopathy. A 70-year-old woman presented with avulsion of the skin over the right foot and bilateral leg pain following a car accident. Computed tomography showed bilateral popliteal artery occlusion with large hematoma on both legs. Percutaneous angioplasty was performed with successful restoration of the flow. However, the skin color changes over time. Necrosis of the skin occurred over a wide area of the right leg. Extensive debridement was performed, and the defect was covered with a skin graft. MLLs can occur in patients with multiple traumas, multiple vascular injuries, and complex skeletal injury. Vascular surgeons treating multiple traumas should be aware of the diagnostic and management options for MLL. It should be diagnosed early because it can be difficult to manage once the overlying skin develops necrosis.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200027morel-lavalléepopliteal arteryangioplastystentsthrombosisocclusion |
| spellingShingle | Sungwoo Cho Sangchul Yun Sung Hun Won Dong-Il Chun Chul Han Kim Byoung Won Park Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts Vascular Specialist International morel-lavallée popliteal artery angioplasty stents thrombosis occlusion |
| title | Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts |
| title_full | Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts |
| title_fullStr | Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts |
| title_full_unstemmed | Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts |
| title_short | Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts |
| title_sort | acute traumatic arterial occlusions combined with massive morel lavallee lesions treated by percutaneous angioplasty multiple debridements and skin grafts |
| topic | morel-lavallée popliteal artery angioplasty stents thrombosis occlusion |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200027 |
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