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Acute Traumatic Arterial Occlusions Combined with Massive Morel-Lavallée Lesions Treated by Percutaneous Angioplasty, Multiple Debridements and Skin Grafts
- Source :
- Vascular Specialist International. 36:174-179
- Publication Year :
- 2020
- Publisher :
- The Korean Society for Vascular Surgery, 2020.
-
Abstract
- Morel-Lavallee 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.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
Fascia
030204 cardiovascular system & hematology
030230 surgery
medicine.disease
Thrombosis
Popliteal artery
Surgery
Avulsion
Lesion
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Hematoma
Angioplasty
medicine.artery
Occlusion
Medicine
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 22887989 and 22887970
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Vascular Specialist International
- Accession number :
- edsair.doi...........07a481ce1f5ebac201f7889b14685cd5