[Morel-Lavallee syndrome of the lower leg].
Identifieur interne : 002234 ( PubMed/Curation ); précédent : 002233; suivant : 002235[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
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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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22401688</PMID><DateCreated><Year>2012</Year><Month>03</Month><Day>09</Day></DateCreated><DateCompleted><Year>2012</Year><Month>07</Month><Day>30</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0151-9638</ISSN><JournalIssue CitedMedium="Internet"><Volume>139</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Annales de dermatologie et de venereologie</Title><ISOAbbreviation>Ann Dermatol Venereol</ISOAbbreviation></Journal><ArticleTitle>[Morel-Lavallee syndrome of the lower leg].</ArticleTitle><Pagination><MedlinePgn>216-20</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.annder.2011.12.032</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Morel-Lavallée syndrome commonly appear after tangential trauma of highly vascularised tissues. The skin and the subcutaneous fat tissue are abruptly torn from the underlying muscle fascia, shearing the lymphatic vessels, rendering lymphostasis impossible. The local inflammatory reaction can cause the formation of a fibrous capsule resulting in a fluid collection. The clinical signs are not specific. When examining a soft-tissue collection or slow-healing wounds, the dermatologist should always rule out previous soft-tissue trauma; simple imaging studies will confirm the diagnosis if Morel-Lavallée injuries are suspected.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">All dermatologists consulted by young patients without vascular disease for an unusual swelling and/or for slow-healing wounds should be mindful of this syndrome.</AbstractText><CopyrightInformation>Copyright © 2012 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Archier</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><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</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grillo</LastName><ForeName>J C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Fourcade</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Gaudy</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Grob</LastName><ForeName>J J</ForeName><Initials>JJ</Initials></Author><Author ValidYN="Y"><LastName>Richard</LastName><ForeName>M A</ForeName><Initials>MA</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Syndrome de Morel-Lavallée du membre inférieur.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2012</Year><Month>02</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Ann Dermatol Venereol</MedlineTA><NlmUniqueID>7702013</NlmUniqueID><ISSNLinking>0151-9638</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>UH95VD7V76</RegistryNumber><NameOfSubstance UI="D010068">Oxacillin</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003646" MajorTopicYN="N">Debridement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D024881" MajorTopicYN="N">Drug Resistance, Bacterial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007869" MajorTopicYN="N">Leg Injuries</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010068" MajorTopicYN="N">Oxacillin</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017695" MajorTopicYN="N">Soft Tissue Injuries</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013203" MajorTopicYN="N">Staphylococcal Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013212" MajorTopicYN="Y">Staphylococcus epidermidis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040521" MajorTopicYN="N">Subcutaneous Tissue</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013577" MajorTopicYN="N">Syndrome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>04</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>11</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>12</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22401688</ArticleId><ArticleId IdType="pii">S0151-9638(12)00013-0</ArticleId><ArticleId IdType="doi">10.1016/j.annder.2011.12.032</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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