Zhou Y, Wang B, Wang J, Zhang M. A case report of severe unstable pelvic fracture with extensive perineal destruction and Morel-Lavallee lesion, with literature review.
Int J Surg Case Rep 2023;
111:108905. [PMID:
37820481 PMCID:
PMC10570939 DOI:
10.1016/j.ijscr.2023.108905]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 09/11/2023] [Accepted: 09/28/2023] [Indexed: 10/13/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE
Unstable pelvic fractures in children are mainly caused by high-impact injuries, which are often combined with multiple injuries. A rare type of degloving injury named Morel-Lavallee lesion (MLL) is easily overlooked in obese children.
CASE PRESENTATION
A case of unstable pelvic fracture combined with extensive perineal injury and MLL in an obese child was discussed. The general conditions, diagnosis, and treatment were summarized.
CLINICAL DISCUSSION
Unstable pelvic fractures are associated with extremely high disability and mortality rates and are often associated with hemorrhagic shock, urethral injury, or lower-extremity dysfunction. Clinicians need to be more alert to the possibility of MLL in obese children.
CONCLUSION
Multidisciplinary diagnosis and treatment with individualized surgical procedures are key to a good prognosis.
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