Case report| Volume 65, ISSUE 11, P1589-1591, November 2012

Surgical treatment of a Morel-Lavallée lesion of the distal thigh with the use of lymphatic mapping and fibrin sealant

  • Rebecca M. Jones
    Corresponding author. Tel.: +44 (0)141 211 5282; fax: +44 (0)141 211 9356.
    Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK
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  • Andrew M. Hart
    Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK

    College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK

    Department of Surgical & Perioperative Sciences, Section for Hand & Plastic Surgery, Umea Universitet, Umea SE-901 87, Sweden
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      A Morel-Lavallée lesion can occur after a closed degloving injury. It is a persistent seroma that may be resistant to conservative methods of treatment such as percutaneous drainage and compression therapy. We present a novel, successful method of surgical treatment.

      Case report

      A 70 year-old lady developed a 30 × 15 cm rapidly enlarging right medial thigh/knee swelling after being hit by a car. Conservative treatments failed, sarcoma was excluded, and the diagnosis confirmed, by MR imaging and cytology prior to referral. The lesion was excised, and blue dye lymphatic mapping used to identify and ligate feeding lymphatic vessels. The cavity was then closed using fibrin sealant spray and resorbable quilting sutures. A pressure garment was fitted.


      The wound healed without complication, with no recurrence at six months. The patient returned to normal activities without pressure garments.


      This method provides a novel, successful approach to the surgical treatment of a chronic Morel-Lavallée lesion.


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