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Lethal Morel-Lavallée lesion: A forensic radiology-pathology correlation
Abdul Rashid1,2, M K Singh2,3,4, S S Feng2
1Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Malaysia.
Radiology Case Reports
|June 25, 2020
Summary
A rare, lethal Morel Lavallée lesion, a type of closed degloving injury, was identified post-mortem in a trauma patient. This finding highlights the potential severity of such injuries, even when initial assessments are inconclusive.
Area of Science:
- Traumatology
- Radiology
- Forensic Pathology
Background:
- Morel Lavallée lesions (closed degloving injuries) result from blunt trauma causing separation of skin/subcutaneous tissue from fascia.
- Motor vehicle accidents are common causes, but large or lethal cases are exceptionally rare.
Observation:
- A 35-year-old female sustained pelvic and thigh injuries in a motor vehicle accident.
- Despite resuscitation and exploratory surgery, her condition deteriorated, leading to death.
Findings:
- Post-mortem CT and CT angiography revealed a large left thigh cavity, indicative of a Morel Lavallée lesion.
- Conventional autopsy confirmed the findings of a lethal Morel Lavallée injury.
Implications:
- This case underscores the potential for severe, life-threatening Morel Lavallée lesions even in non-survivors.
- Highlights the importance of advanced imaging in post-mortem examinations for diagnosing subtle traumatic injuries.
Keywords:
AutopsyMorel Lavallée lesionPost-Mortem Computed TomographyPost-Mortem Computed Tomography AngiogramMore Related Videos
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