{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:28:05Z","timestamp":1785900485545,"version":"3.56.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T00:00:00Z","timestamp":1531180800000},"content-version":"vor","delay-in-days":190,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The Morel-Lavall\u00e9e lesion is an infrequently described, post-traumatic closed de-gloving wound that results from separation of the skin and subcutaneous tissues from the underlying deep fascia as a result of shearing forces that tear perforating vessels and lymphatics. This condition is rare in children and to our knowledge it represents the youngest case of Morel-Lavall\u00e9e lesion yet reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We report on a twelve-month-old girl who presented after a motor vehicle accident with a tender fluctuant mass of the back and buttocks. Computed tomography revealed a large but discrete fluid collection between the subcutaneous fat and the deep fascial planes, extending from the posterior thoracic paraspinal soft tissues to the right gluteal region. A diagnosis of Morel-Lavall\u00e9e lesion was made. This patient was managed with serial ultrasound-guided percutaneous drainage and compression bandages. The patient did well and was subsequently discharged. There was no recurrence of the lesion on follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The Morel-Lavall\u00e9e lesion is a rare consequence of abrupt high impact trauma. There is no accepted management approach and a variety of conservative as well as surgical options exist. Goals of management include drainage, debridement and meticulous dead space management to prevent recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Morel-Lavall\u00e9e lesion is a rare finding in children involved in high impact trauma and prompt intervention is crucial to prevent complications. Image-guided drainage is a rational management approach with excellent outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.07.005","type":"journal-article","created":{"date-parts":[[2018,7,15]],"date-time":"2018-07-15T01:34:54Z","timestamp":1531618494000},"page":"180-184","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Morel-Lavall\u00e9e lesion in a 12-month-old child"],"prefix":"10.1097","volume":"49","author":[{"given":"Dennis","family":"Mazingi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George C.","family":"Jakanani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prudance","family":"Mushayavanhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-43-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R2-43-20260114","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.ocl.2015.08.012","article-title":"Management of the Morel-Lavallee lesion","volume":"47","author":"Greenhill","year":"2016","journal-title":"Orthop. Clin. North Am"},{"key":"R3-43-20260114","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.jvir.2012.12.010","article-title":"Image-guided drainage and sclerodesis of a Morel-Lavallee lesion","volume":"24","author":"Isaacson","year":"2013","journal-title":"J. Vasc. Interv. Radiol"},{"key":"R5-43-20260114","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1097\/TA.0000000000000111","article-title":"The Mayo Clinic experience with Morel-Lavall\u00e9e lesions: establishment of a practice management guideline","volume":"76","author":"Nickerson","year":"2014","journal-title":"J. Trauma Acute Care Surg"},{"key":"R6-43-20260114","doi-asserted-by":"crossref","first-page":"e148","DOI":"10.2106\/JBJS.K.00219","article-title":"Concealed degloving injury (the Morel-Lavall\u00e9e lesion) in childhood sports: a case report","volume":"93","author":"Anakwenze","year":"2011","journal-title":"J. Bone Jt. Surg. Am"},{"key":"R7-43-20260114","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1007\/s00238-005-0796-1","article-title":"Pseudo-cyst formation after abdominoplasty combined with liposuction: a case report and review of the literature","volume":"28","author":"Keramidas","year":"2006","journal-title":"Eur. J. Plast. Surg"},{"key":"R8-43-20260114","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1097\/00005373-199706000-00010","article-title":"Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavalle'e lesion","volume":"42","author":"Hak","year":"1997","journal-title":"J. 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Surg"},{"key":"R12-43-20260114","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1749-7922-8-60","article-title":"Morel-Lavallee lesion in children","volume":"8","author":"Rha","year":"2013","journal-title":"World J. Emerg. Surg"},{"key":"R14-43-20260114","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.mric.2005.08.006","article-title":"Morel-Lavall\u00e9e lesions: review with an emphasis on MR imaging","volume":"13","author":"Mellado","year":"2007","journal-title":"Magn. Reson. Imaging Clin. North Am"},{"key":"R15-43-20260114","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s10140-013-1151-7","article-title":"The Morel-Lavall\u00e9e lesion: pathophysiology, clinical presentation, imaging features and treatment options","volume":"21","author":"Bonilla-Yoon","year":"2014","journal-title":"Emerg. 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