Sclerotherapy Using Abnobaviscum for the Extensive Recurrent Chronic Morel-Lavallée Lesions - A Case Report -

Joon-Kuk Kim; Ji-Won Jung; Ki-Chul Park

doi:10.12671/jkfs.2020.33.4.222

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Case Report Sclerotherapy Using Abnobaviscum for the Extensive Recurrent Chronic Morel-Lavallée Lesions - A Case Report -: Joon-Kuk Kim, Ji-Won Jung, Ki-Chul Park; Journal of Musculoskeletal Trauma 2020;33(4):222-226.
DOI: https://doi.org/10.12671/jkfs.2020.33.4.222
Published online: October 31, 2020

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Abstract

The Morel-Lavallée lesion (MLL) is a closed soft-tissue degloving injury, resulting in characteristic hemo-lymphatic fluid collection between the fascia and subcutaneous layers. The MLL was managed routinely with drainage and compression bandages, but sclerotherapy can be used in patients with chronic lesions refractory to first-line therapy. This paper presents a case of extensive recurrent chronic MLL treated with sclerotherapy using Abnobaviscum, which has been used to treat adhesion in malignant pleural effusion.

Keywords: Morel-Lavall?e lesion, Pelvic, Sclerotherapy, Abnobaviscum

J Korean Fract Soc. 2020 Oct;33(4):222-226. Korean.
Published online Oct 22, 2020.
https://doi.org/10.12671/jkfs.2020.33.4.222

Case Report

Sclerotherapy Using Abnobaviscum for the Extensive Recurrent Chronic Morel-Lavallée Lesions: A Case Report

Joon-Kuk Kim

, M.D., Ji-Won Jung

, M.D. and Ki-Chul Park

, M.D., Ph.D.

Author information

Author notes

- Department of Orhopaedic Surgery, Hanyang University Guri Hospital, Guri, Korea.
Correspondence to: Ki-Chul Park, M.D., Ph.D. Department of Orhopaedic Surgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri 11923, Korea. Tel: +82-31-560-2187, Fax: +82-31-557-8781, Email: kcpark@hanyang.ac.kr

Received July 09, 2020; Revised August 10, 2020; Accepted October 05, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The Morel-Lavallée lesion (MLL) is a closed soft-tissue degloving injury, resulting in characteristic hemolymphatic fluid collection between the fascia and subcutaneous layers. The MLL was managed routinely with drainage and compression bandages, but sclerotherapy can be used in patients with chronic lesions refractory to first-line therapy. This paper presents a case of extensive recurrent chronic MLL treated with sclerotherapy using Abnobaviscum, which has been used to treat adhesion in malignant pleural effusion.

Keywords

Morel-Lavallée lesion, Pelvic, Sclerotherapy, Abnobaviscum

Figures

Fig. 1
Immediate postoperative radiograph shows the stabilization of a pelvic ring injury, including left acetabular fracture (arrow).

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Fig. 2
(A) Magnetic resonance image shows fluid collection (28 cm×5 cm×2 cm; arrow) between the fascia and the subcutaneous layer on postoperative one month. (B, C) After eight months of conservative treatment, magnetic resonance was repeated, showing persistent fluid collection (32 cm×3 cm×6 cm; arrows) with thick enhancing fibrous capsulation.

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Fig. 3
(A) Intraoperative appearance of Morel-Lavallée lesion at the left thigh. (B) It was surrounded by thick fibrous capsulation and excised during debridement. (C) The vacuum-assisted closure system was applied to the wound after secondary debridement. (D) After repeated debridement and change in the vacuum-assisted closure system for one week, Abnobaviscum (Abnoba Korea) was administered as a sclerosing agent on an open wound.

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Fig. 4
(A) Gross photography of the left thigh. Improved swelling and fluctuation after sclerotherapy. (B, C) After two months of sclerotherapy, a resolved Morel-Lavallée lesion was observed by magnetic resonance imaging.

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Notes

Financial support:None.

Conflict of interests:None.

References

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Sclerotherapy Using Abnobaviscum for the Extensive Recurrent Chronic Morel-Lavallée Lesions - A Case Report -

J Korean Fract Soc. 2020;33(4):222-226. Published online October 31, 2020

DOI: https://doi.org/10.12671/jkfs.2020.33.4.222