Lethal Morel-Lavallée lesion: A forensic radiology-pathology correlation

Morel Lavallée lesion or closed degloving injury is normally associated with severe trauma and occurs when the skin and subcutaneous fatty tissue traumatically and abruptly separated from the underlying fascia thus creating a potential space filled with fluid. MVA is the commonest etiology but large...

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Bibliographic Details
Published in:Radiology case reports 2020-08, Vol.15 (8), p.1280-1284
Main Authors: Rashid, Abdul, Singh, M.K., Feng, S.S., Yatim, N. Mohd, Sahak, M.Y., Mahmud, R.
Format: Article
Language:English
Subjects:
Autopsy
Forensic, Anthropological, and Historical
Morel Lavallée lesion
Post-Mortem Computed Tomography
Post-Mortem Computed Tomography Angiogram
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Summary:Morel Lavallée lesion or closed degloving injury is normally associated with severe trauma and occurs when the skin and subcutaneous fatty tissue traumatically and abruptly separated from the underlying fascia thus creating a potential space filled with fluid. MVA is the commonest etiology but large or lethal Morel Lavallée is extremely rare. A 35 years old, female pillion rider was involved in a motor vehicle accident and sustained injuries to the left pelvis and thigh. Emergency laparotomy and intra-op abdominal and bilateral lower limb arteriogram revealed no significant finding. Her general condition and vital signs continued to deteriorate despite aggressive resuscitation and eventually died. Post-Mortem Computed Tomography and Post-Mortem Computed Tomography Angiogram was performed and revealed a large cavity in the left thigh suggestive of a lethal Morel Lavallée lesion. Findings were confirmed by conventional autopsy.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.04.054