title: Morel-Lavallee seroma (post-traumatic pseudocyst) of back: a rarity with management conundrum.
abstract: Morel-Lavallee seroma (MLS) or post-traumatic pseudocyst is a soft tissue seroma developing due to closed degloving injury by a shearing force that causes separation of subcutaneous fatty layer from the deeper muscular fascia resulting in collection of fluid in the created space. Presentation is usually fluctuant swelling following history of injury. More frequently described in orthopaedic literature, it occurs more commonly over gluteal and trochanteric regions, knee and flanks with occurrence over back, thorax being a rare entity. Despite mimicking several other similar presenting conditions, diagnosis of MLS can be made by meticulous history and physical examination with classical findings on ultrasonography, CT scan and MRI. Treatment modality may vary from conservative management to open surgical debridement of the wound with percutaneous aspiration and sclerodhesis forming useful adjuncts to conservative management.
authors.affiliation: Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Anshuman
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Akshay
authors.initials: A
authors.lastname: Anand
authors.affiliation: Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Sanchit
authors.initials: S
authors.lastname: Mittal
authors.affiliation: Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Abhinav Arun
authors.initials: AA
authors.lastname: Sonkar
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D019567:Back Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D004322:Drainage; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D049291:Seroma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D017695:Soft Tissue Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D014463:Ultrasonography