case_images: PMC5838870_01
case_images: Initial evaluation of mixed friction burn to anterior abdomen of a 30-year old female pedestrain struck by a motor vehicle. Total burn surface area (TBSA) estimated to be 13% (4% full-thickness 3rd degree, 9% partial thickness 2nd degree)
case_images: 41038_2018_108_Fig1_HTML.jpg
case_images: PMC5838870_01_41038_2018_108_Fig1_HTML.jpg
case_images: Fig1
case_images: The burn service was consulted on hospital day 5 for management of her abdominal friction burns (TBSA 13%), of which 4% appeared to be full thickness on initial evaluation [Fig. 1].
case_images: Morel-Lavallee lesion discovery during of a 30-year old female pedestrain struck by a motor vehicle tangential burn wound excision revealed full-thickness abdominal wall ischemia (approximately 12 cm diameter), extensive fascial-cutaneous separation, and traumatic dissection. Over 1.5 L of fluid were removed from this region at index operation requiring drain placement for weeks post-operation
case_images: 41038_2018_108_Fig2_HTML.jpg
case_images: PMC5838870_01_41038_2018_108_Fig2_HTML.jpg
case_images: Fig2
case_images: Upon further excision of necrotic adipose tissue, the underlying fascial-cutaneous separation (MLL) was discovered, and approximately 1.5 L of serosanguinous fluid was evacuated from this cavity [Fig. 2].
case_images: Post-repair day 5 of abdominal wall Morel-Lavallee lesion with excision and autografting with split-thickness skin graft of a 30-year old female pedestrain struck by a motor vehicle
case_images: 41038_2018_108_Fig3_HTML.jpg
case_images: PMC5838870_01_41038_2018_108_Fig3_HTML.jpg
case_images: Fig3
case_images: The primary dressings were removed 5 days post-autografting with satisfactory results [Fig. 3]; after 5 weeks, autograft take was noted to be > 95% with further aesthetic improvements appreciated [Fig. 4].