PMC9857385_01
Clinical images. Multiple contusions, bruising, and a wide range of skin fluctuations on the anterolateral right thigh.
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F1
A wide range of skin fluctuations and tenderness existed in the anterolateral thigh, but there was no vertical axis pain in the right lower limb (Figure 1).
Magnetic resonance imaging of an MLL. (A): An abnormal signal intensity was observed in the subcutaneous tissue and the fascia lata of the anterolateral right thigh, which was hypointense on T1WI (red arrow). (B and C) The lesion was hyperintense on T2WI (red arrow).
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F2
T1-weighted images (T1WI) (Figure 2A) and hyperintense on T2-weighted sequences (T2WI) (Figures 2B,C). The lesion's clinical manifestations and imaging appearances were consistent with an MLL, therefore, we diagnosed it as a closed degloving soft tissue injury.
Operation data. No skin fluctuations and no cavity were observed between the subcutaneous fat and the fascia iliaca of the anterolateral right thigh.
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F3
After 1 week, we removed the VSD and used non-absorbable, non-braided sutures to close the deep fascia and skin of the incision (Figure 3), with an elastic bandage binding the injury area of the right thigh.
Clinical images after healing. Pain, swelling, and previous skin fluctuations in the patient's right leg disappeared.
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F4
Finally, the patient reported favorable outcomes; wound pain and a wave-like feeling in the anterolateral right thigh disappeared at discharge (Figure 4).