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lower extremity spot diagnosis

Discussion in 'Spot Diagnosis' started by bb100, Apr 22, 2013.

  1. bb100

    bb100 Bronze Member

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    Patient had a trauma 3 month ago . Fig1: photo Fig2:coronal plan MRI Fig 3: axial plan MRI .What is the name of this pathology?
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  2. neo_star

    neo_star Moderator

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    Re: lower extremity

    I have seen a similar case during a stint with a soft-tissue surgeon....i was asked by the surgeon as to what the lesion was and my ans was lipoma ( since it had all the characteristics ). I was then asked to take the Hx, upon which i learnt that the person was a cyclist and had a fall on a synthetic surface which send her skidding for 5 - 6 meters....i still couldn't figure out since the mass seemed very superficial....the surgeon then explained that it is a form of closed degloving injury, wherein the skin and subcut. tissue separates from the underlying muscle leaving a potential space that fills in with tissue fluid or blood or both. Since the lesion didn't demonstrate a capsule ( that cud b shelled out ), it was decided to aspirate and the patient was sent home with a compression bandage.

    The name of the pathology is "Morel-Lavallee lesion"

    morel lavallee mechanism.jpg
     

    Last edited: Apr 23, 2013
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  3. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Morel lavallee lesion.
     

  4. bb100

    bb100 Bronze Member

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    Correct diagnosis :
    Morel Lavallée lesion
     

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