[Morel-Lavallee syndrome of the lower leg].
Identifieur interne : 000203 ( France/Analysis ); précédent : 000202; suivant : 000204[Morel-Lavallee syndrome of the lower leg].
Auteurs : E. Archier [France] ; J C Grillo ; S. Fourcade ; C. Gaudy ; J J Grob ; M A RichardSource :
- Annales de dermatologie et de venereologie [ 0151-9638 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Antibactériens (usage thérapeutique), Association thérapeutique, Cicatrisation de plaie (physiologie), Débridement, Humains, Infection de plaie opératoire (), Infection de plaie opératoire (anatomopathologie), Infection de plaie opératoire (diagnostic), Infections à staphylocoques (), Infections à staphylocoques (anatomopathologie), Infections à staphylocoques (diagnostic), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (diagnostic), Mâle, Oxacilline (usage thérapeutique), Résistance bactérienne aux médicaments, Staphylococcus epidermidis, Syndrome, Tissu sous-cutané (anatomopathologie), Tissu sous-cutané (traumatismes), Traumatismes de la jambe (), Traumatismes de la jambe (anatomopathologie), Traumatismes de la jambe (diagnostic), Traumatismes des tissus mous (), Traumatismes des tissus mous (anatomopathologie), Traumatismes des tissus mous (diagnostic).
- MESH :
- anatomopathologie : Infection de plaie opératoire, Infections à staphylocoques, Lymphoedème, Tissu sous-cutané, Traumatismes de la jambe, Traumatismes des tissus mous.
- diagnostic : Infection de plaie opératoire, Infections à staphylocoques, Lymphoedème, Traumatismes de la jambe, Traumatismes des tissus mous.
- physiologie : Cicatrisation de plaie.
- traumatismes : Tissu sous-cutané.
- usage thérapeutique : Antibactériens, Oxacilline.
- Adulte, Association thérapeutique, Débridement, Humains, Infection de plaie opératoire, Infections à staphylocoques, Lymphoedème, Mâle, Résistance bactérienne aux médicaments, Staphylococcus epidermidis, Syndrome, Traumatismes de la jambe, Traumatismes des tissus mous.
English descriptors
- KwdEn :
- Adult, Anti-Bacterial Agents (therapeutic use), Combined Modality Therapy, Debridement, Drug Resistance, Bacterial, Humans, Leg Injuries (diagnosis), Leg Injuries (pathology), Leg Injuries (surgery), Lymphedema (diagnosis), Lymphedema (pathology), Lymphedema (surgery), Male, Oxacillin (therapeutic use), Soft Tissue Injuries (diagnosis), Soft Tissue Injuries (pathology), Soft Tissue Injuries (surgery), Staphylococcal Infections (diagnosis), Staphylococcal Infections (pathology), Staphylococcal Infections (surgery), Staphylococcus epidermidis, Subcutaneous Tissue (injuries), Subcutaneous Tissue (pathology), Surgical Wound Infection (diagnosis), Surgical Wound Infection (pathology), Surgical Wound Infection (surgery), Syndrome, Wound Healing (physiology).
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Oxacillin.
- diagnosis : Leg Injuries, Lymphedema, Soft Tissue Injuries, Staphylococcal Infections, Surgical Wound Infection.
- injuries : Subcutaneous Tissue.
- pathology : Leg Injuries, Lymphedema, Soft Tissue Injuries, Staphylococcal Infections, Subcutaneous Tissue, Surgical Wound Infection.
- physiology : Wound Healing.
- surgery : Leg Injuries, Lymphedema, Soft Tissue Injuries, Staphylococcal Infections, Surgical Wound Infection.
- Adult, Combined Modality Therapy, Debridement, Drug Resistance, Bacterial, Humans, Male, Staphylococcus epidermidis, Syndrome.
Abstract
Morel-Lavallée syndrome, which appears after tangential trauma of highly vascularised tissues, is characterized by closed internal degloving injuries resulting in subcutaneous fluid collection. It can cause many complications. A 42-year-old man presented with open wounds after a violent right lower extremity trauma; the wounds were sutured. One month after the trauma, the patient complained of painful edema of the lower limb and fluid discharge from the previously sutured wounds. Local examination showed fluctuating fluid collection. Serum inflammatory markers were within the normal range. Ultrasound investigation of the right lower limb confirmed an extended fluid collection from the lower third of the thigh to the upper third of the leg, and CT scan delineated a surrounding capsule. The clinical and radiological data supported a diagnosis of post-traumatic Morel-Lavallée syndrome. Local surgical debridement and drainage associated with systemic antibiotic therapy (the fluid was found to be infected with oxacillin-resistant Staphylococcus epidermidis) resulted in rapid improvement.
DOI: 10.1016/j.annder.2011.12.032
PubMed: 22401688
Affiliations:
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pubmed:22401688Le document en format XML
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Archier</name><affiliation wicri:level="4"><nlm:affiliation>UMR 911, Inserm CRO2, service de dermatologie, université d'Aix-Marseille, hôpital Timone, 264, rue Saint-Pierre, 13005 Marseille, France. elodie.archier@live.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UMR 911, Inserm CRO2, service de dermatologie, université d'Aix-Marseille, hôpital Timone, 264, rue Saint-Pierre, 13005 Marseille</wicri:regionArea><wicri:noRegion>13005 Marseille</wicri:noRegion><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Grillo, J C" sort="Grillo, J C" uniqKey="Grillo J" first="J C" last="Grillo">J C Grillo</name></author><author><name sortKey="Fourcade, S" sort="Fourcade, S" uniqKey="Fourcade S" first="S" last="Fourcade">S. 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Archier</name><affiliation wicri:level="4"><nlm:affiliation>UMR 911, Inserm CRO2, service de dermatologie, université d'Aix-Marseille, hôpital Timone, 264, rue Saint-Pierre, 13005 Marseille, France. elodie.archier@live.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UMR 911, Inserm CRO2, service de dermatologie, université d'Aix-Marseille, hôpital Timone, 264, rue Saint-Pierre, 13005 Marseille</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Grillo, J C" sort="Grillo, J C" uniqKey="Grillo J" first="J C" last="Grillo">J C Grillo</name></author><author><name sortKey="Fourcade, S" sort="Fourcade, S" uniqKey="Fourcade S" first="S" last="Fourcade">S. 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(therapeutic use)</term><term>Soft Tissue Injuries (diagnosis)</term><term>Soft Tissue Injuries (pathology)</term><term>Soft Tissue Injuries (surgery)</term><term>Staphylococcal Infections (diagnosis)</term><term>Staphylococcal Infections (pathology)</term><term>Staphylococcal Infections (surgery)</term><term>Staphylococcus epidermidis</term><term>Subcutaneous Tissue (injuries)</term><term>Subcutaneous Tissue (pathology)</term><term>Surgical Wound Infection (diagnosis)</term><term>Surgical Wound Infection (pathology)</term><term>Surgical Wound Infection (surgery)</term><term>Syndrome</term><term>Wound Healing (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Antibactériens (usage thérapeutique)</term><term>Association thérapeutique</term><term>Cicatrisation de plaie (physiologie)</term><term>Débridement</term><term>Humains</term><term>Infection de plaie opératoire ()</term><term>Infection de plaie opératoire 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Therapy</term><term>Debridement</term><term>Drug Resistance, Bacterial</term><term>Humans</term><term>Male</term><term>Staphylococcus epidermidis</term><term>Syndrome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Association thérapeutique</term><term>Débridement</term><term>Humains</term><term>Infection de plaie opératoire</term><term>Infections à staphylocoques</term><term>Lymphoedème</term><term>Mâle</term><term>Résistance bactérienne aux médicaments</term><term>Staphylococcus epidermidis</term><term>Syndrome</term><term>Traumatismes de la jambe</term><term>Traumatismes des tissus mous</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Morel-Lavallée syndrome, which appears after tangential trauma of highly vascularised tissues, is characterized by closed internal degloving injuries resulting in subcutaneous fluid collection. It can cause many complications. A 42-year-old man presented with open wounds after a violent right lower extremity trauma; the wounds were sutured. One month after the trauma, the patient complained of painful edema of the lower limb and fluid discharge from the previously sutured wounds. Local examination showed fluctuating fluid collection. Serum inflammatory markers were within the normal range. Ultrasound investigation of the right lower limb confirmed an extended fluid collection from the lower third of the thigh to the upper third of the leg, and CT scan delineated a surrounding capsule. The clinical and radiological data supported a diagnosis of post-traumatic Morel-Lavallée syndrome. Local surgical debridement and drainage associated with systemic antibiotic therapy (the fluid was found to be infected with oxacillin-resistant Staphylococcus epidermidis) resulted in rapid improvement.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement><orgName><li>Université d'Aix-Marseille</li></orgName></list><tree><noCountry><name sortKey="Fourcade, S" sort="Fourcade, S" uniqKey="Fourcade S" first="S" last="Fourcade">S. Fourcade</name><name sortKey="Gaudy, C" sort="Gaudy, C" uniqKey="Gaudy C" first="C" last="Gaudy">C. Gaudy</name><name sortKey="Grillo, J C" sort="Grillo, J C" uniqKey="Grillo J" first="J C" last="Grillo">J C Grillo</name><name sortKey="Grob, J J" sort="Grob, J J" uniqKey="Grob J" first="J J" last="Grob">J J Grob</name><name sortKey="Richard, M A" sort="Richard, M A" uniqKey="Richard M" first="M A" last="Richard">M A Richard</name></noCountry><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Archier, E" sort="Archier, E" uniqKey="Archier E" first="E" last="Archier">E. Archier</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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