Work

A case report of severe unstable pelvic fracture with extensive perineal destruction and Morel-Lavallee lesion, with literature review

Year: 2023

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Unstable pelvic fractures in children are mainly caused by high-impact injuries, which are often combined with multiple injuries. A rare type of degloving injury named Morel-Lavallee lesion (MLL) is easily overlooked in obese children. CASE PRESENTATION: A case of unstable pelvic fracture combined with extensive perineal injury and MLL in an obese child was discussed. The general conditions, diagnosis, and treatment were summarized. CLINICAL DISCUSSION: Unstable pelvic fractures are associated with extremely high disability and mortality rates and are often associated with hemorrhagic shock, urethral injury, or lower-extremity dysfunction. Clinicians need to be more alert to the possibility of MLL in obese children. CONCLUSION: Multidisciplinary diagnosis and treatment with individualized surgical procedures are key to a good prognosis.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2023.108905

Authors: Ying Zhou, Bo Wang, Jing Wang, Ming Zhang

Institutions: Second Affiliated Hospital of Nanjing Medical University, Nanjing Children's Hospital

Language: English

Topic: Pelvic and Acetabular Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800