{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:27:00Z","timestamp":1775791620428,"version":"3.50.1"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T00:00:00Z","timestamp":1626652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T00:00:00Z","timestamp":1626652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Morel-Lavall\u00e9e lesions are posttraumatic, closed degloving injuries in which the skin and subcutaneous tissue are separated abruptly from superficial underlying fascia. This condition leads to an effusion containing hemolymph and necrotic fat. Magnetic resonance imaging, when available, is the modality of choice in the evaluation of Morel-Lavall\u00e9e lesion. Early diagnosis and management is essential as any delay in diagnosis or missed lesion will lead to the effusion becoming infected or leading to extensive skin necrosis. We present a condition of a Morel-Lavall\u00e9e lesion involving the scalp and complicated by conjunctival chemosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report on a 3-year-old black African girl who presented a fluctuant swelling of entire scalp, extending to upper part of the face on the seventh day after a forehead trauma due to falling on a rock while playing. Skull x-ray revealed soft-tissue swelling, giving an impression of large fluid collection in the deep subcutaneous tissues with no bone fracture. A diagnosis of Morel-Lavall\u00e9e lesion of the scalp complicated by conjunctival chemosis was made. The patient was managed with percutaneous drainage and compression bandage. The patient improved well and was subsequently discharged without any vision impairment. There was no recurrence of the lesion on follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The Morel-Lavall\u00e9e lesion of the scalp complicated with conjunctival chemosis is a rare presentation of this condition. Prompt diagnosis and management are crucial for preventing complications. Image-guided diagnosis and treatment still remain a challenge in the setting of low-resource health facilities.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02891-6","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T09:04:00Z","timestamp":1626685440000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Huge scalp Morel-Lavall\u00e9e lesion with eye involvement in a 3-year-old girl: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Claude Kasereka","family":"Masumbuko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6368-7127","authenticated-orcid":false,"given":"Gabriel Kambale","family":"Bunduki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mupenzi","family":"Mumbere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"2891_CR1","first-page":"20","volume":"1","author":"M Morel-Lavall\u00e9e","year":"1863","unstructured":"Morel-Lavall\u00e9e M. Decollements traumatiques de la peau et des couches sousjacentes. Arch Gen Med. 1863;1:20\u201338 (172\u2013200, 300\u2013332).","journal-title":"Arch Gen Med"},{"key":"2891_CR2","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1186\/1749-7922-8-60","volume":"8","author":"EY Rha","year":"2013","unstructured":"Rha EY, Kim DH, Kwon H, Jung SN. Morel-Lavallee lesion in children. World J Emergency Surg. 2013;8:60.","journal-title":"World J Emergency Surg"},{"key":"2891_CR3","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.1177\/0363546507299448","volume":"35","author":"SG Tejwani","year":"2007","unstructured":"Tejwani SG, Cohen SB, Bradley JP. Management of Morel-Lavallee lesion of the knee: twenty-seven cases in the National Football League. Am J Sports Med. 2007;35:1162\u20137.","journal-title":"Am J Sports Med"},{"issue":"Suppl 1","key":"2891_CR4","doi-asserted-by":"publisher","first-page":"S43","DOI":"10.1007\/s00256-006-0122-4","volume":"36","author":"K Mukherjee","year":"2007","unstructured":"Mukherjee K, Perrin SM, Hughes PM. Morel-Lavallee lesion in an adolescent with ultrasound and MRI correlation. Skeletal Radiol. 2007;36(Suppl 1):S43\u20135.","journal-title":"Skeletal Radiol"},{"key":"2891_CR5","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1097\/00005373-199706000-00010","volume":"42","author":"DJ Hak","year":"1997","unstructured":"Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallee lesion. J Trauma. 1997;42:1046\u201351.","journal-title":"J Trauma"},{"key":"2891_CR6","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s00402-013-1703-z","volume":"133","author":"C Shen","year":"2013","unstructured":"Shen C, Peng JP, Chen XD. Efficacy of treatment in peri-pelvic Morel-Lavallee lesion: a systematic review of the literature. Arch Orthop Trauma Surg. 2013;133:635\u201340.","journal-title":"Arch Orthop Trauma Surg"},{"key":"2891_CR7","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1136\/emermed-2011-200660","volume":"29","author":"CI Efrimescu","year":"2012","unstructured":"Efrimescu CI, McAndrew J, Bitzidis A. Acute lumbar Morel-Lavallee haematoma in a 14-year-old boy. Emerg Med J. 2012;29:433.","journal-title":"Emerg Med J"},{"key":"2891_CR8","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1097\/BOT.0b013e31802f19ca","volume":"21","author":"DA Carlson","year":"2007","unstructured":"Carlson DA, Simmons J, Sando W, Weber T, Clements B. Morel-Lavalee lesions treated with debridement and meticulous dead space closure: surgical technique. J Orthop Trauma. 2007;21:140\u20134.","journal-title":"J Orthop Trauma"},{"key":"2891_CR9","doi-asserted-by":"publisher","first-page":"148","DOI":"10.2106\/JBJS.K.00219","volume":"93","author":"OA Anakwenze","year":"2011","unstructured":"Anakwenze OA, Trivedi V, Goodman AM, Ganley TJ. Concealed degloving injury (the Morel-Lavallee lesion) in childhood sports: a case report. J Bone Joint Surg Am. 2011;93:148.","journal-title":"J Bone Joint Surg Am"},{"key":"2891_CR10","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1016\/j.mric.2005.08.006","volume":"13","author":"JM Mellado","year":"2005","unstructured":"Mellado JM, Bencardino JT. Morel-Lavallee lesion: review with emphasis on MR imaging. Magn Reson Imaging Clin N Am. 2005;13:775\u201382.","journal-title":"Magn Reson Imaging Clin N Am"},{"key":"2891_CR11","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.ocl.2015.08.012","volume":"47","author":"D Greenhill","year":"2016","unstructured":"Greenhill D, Haydel C, Rehman S. Management of the Morel-Lavallee lesion. Orthop Clin North Am. 2016;47:115\u201325.","journal-title":"Orthop Clin North Am"},{"key":"2891_CR12","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1016\/j.jor.2018.08.032","volume":"15","author":"R Singh","year":"2018","unstructured":"Singh R, Rymer B, Youssef B, Lim J. The Morel-Lavall\u00e9e lesion and its management: a review of literature. J Orthop. 2018;15:917\u201321.","journal-title":"J Orthop"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02891-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-02891-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02891-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T09:11:35Z","timestamp":1626685895000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02891-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2891"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02891-6","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,19]]},"assertion":[{"value":"22 October 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Ethics Committee of North-Kivu approved the publication of this case.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient\u2019s legal guardian(s) for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author GKB reports support from the Else-Kroner-Fresenius Stiftung through the BEBUC Excellence Scholarship, and KMC reports a grant of the Association for Health Innovation in Africa (AFHIA), a research-based NGO. All the grants reported are outside of the submitted work. The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"383"}}