Morel lavallee lesion

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Trauma to the left hip with persistent subcutaneous swelling since three months.

Patient Data

Age: 60 years old
Gender: Male
Modality: MRI

A left upper antero-lateral thigh thick-walled lentiform cystic lesion is seen overlying the greater tuberosity of the femur, it demonstrates low T1 and bright T2 / STIR signal intensity. The lesion is seen loculated deeply subcutaneous and splitting the superficial and deep layer of the deep facia.  

The lesion shows small septations within, and shows thick hypointense pseudo-capsule enclosing it.  Normal both hip joints. No joint effusion.  No marrow signal abnormality. Intact peri-articular hip musculature with no soft tissue mass lesion.

Case Discussion

Morel-Lavalee lesion of the left upper anterolateral thigh overlying the greater tuberosity of the femur  2ry to closed degloving or shearing injury with splitting of the deep facia between the tensor facia lata and subcutaneous fat. 

 

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Case Information

rID: 23743
Case created: 6th Jul 2013
Last edited: 15th Mar 2017
Inclusion in quiz mode: Included

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