PMC5838870_01
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)
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Fig1
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].
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
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Fig2
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].
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
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Fig3
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].