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Bilateral Pedicled Superficial Epigastric Flap in the Management of Circumferential Combined degloving and Full Thickness Burn Hand Injury—A Case Report

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Modern Plastic Surgery 2012年第2期2卷 35-38页

作者： Medhat E. Habib Christoph H. Reuter Department of Plastic Reconstructive and Craniofacial Surgery Mafraq Hospital Abu Dhabi United Arab of Emirates

We report a case of combined hand trauma in the form of circumferential degloving injury of the hand with full thickness friction burns of the hand, forearm and the distal part of the upper arm. On exploration the hand was found avascular with loss of vital structures and full thickness burns. As a salvage procedure the hand was embedded in the subcutaneous tissue of the abdomen for 4 weeks and after that elevated as an inferiorly based flap on the bilateral superficial inferior epigastric arteries. Two weeks later the hand was freed by division of the base of the flap bilaterally. The details and description of the injury, the procedure and the outcome are discussed.

关键词： Hand Burn Mutilating degloving Injury Superficial Inferior Epigastric Artery Flap

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A rare case of severe third degree friction burns and large Morel-Lavallee lesion of the abdominal wall

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Burns & Trauma 2018年第1期6卷 63-66页

作者： Darnell J.Brown Kuo Jung G.Lu Kristina Chang Jennifer Levin John T.Schulz Jeremy Goverman Massachusetts General Hospital Harvard Medical SchoolBostonMAUSA

Background: Morel-Lavallee lesions (MLLs) are rare internal degloving injuries typically caused by blunt traumatic injuries and most commonly occur around the hips and in association with pelvic or acetabular fractures. MLL is often overlooked in the setting of poly-trauma;therefore, clinicians must maintain a high degree of suspicion and be familiar with the management of such injuries, especially in obese poly-trauma patients. Case presentation: We present a 30-year-old female pedestrian struck by a motor vehicle who sustained multiple long bone fractures, a mesenteric hematoma, and full-thickness abdominal skin friction burn which masked a significant underlying abdominal MLL. The internal degloving caused significant devascularization of the overlying soft tissue and skin which required surgical drainage of hematoma, abdominal wall reconstruction with tangential excision, allografting, negative pressure wound therapy, and ultimately autografting. Conclusion: MLL is a rare, often overlooked, internal degloving injury. Surgeons must maintain a high index of suspicion when dealing with third degree friction burns as they may mask underlying injuries such as MLL, and a delay in diagnosis can lead to increased morbidity.

关键词： Friction burns Blunt trauma friction burns nternal degloving injuries Morel-Lavallee lesion Traumatic pseudocyst

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Morel-Lavallee Lesion of the Lower Back Mimicking an Abscess: A Case Report

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Surgical Science 2012年第4期3卷 213-215页

作者： Sandra de Montbrun Korosh Khalili Steven MacLellan Alexandra Easson Mount Sinai Hospital University of Toronto Toronto Canada

A closed degloving injury, or Morel-Lavallee lesion, is the result of a severe, traumatic, shearing injury, causing separation of the skin and subcutaneous tissue from the underlying deep fascia. Though well described in the orthopedic trauma literature, this lesion is not well recognized by the general surgeon in the poly-trauma setting. We present a case of a 41 year old man who was referred to the general surgery service for a “back abscess”. Upon patient interview, history of a recent motor vehicle collision (MVC) was obtained, including a pelvic fracture. Imaging demonstrated a large Morel-Lavellee lesion extending from the pelvis into the lower back. Knowledge of this entity is crucial to avoid unnecessary procedures in the management of these patients.

关键词： Closed degloving Injury Morel-Lavallee Lesion Trauma Case Report

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