# Morel-Lavallee Lesion Associated With Rhabdomyolysis in Polytrauma

## TL;DR

A 30-year-old man with a severe road traffic accident developed a rare Morel-Lavallee lesion and rhabdomyolysis, which were successfully managed with timely medical intervention.

## Contribution

This case highlights the rare association of Morel-Lavallee lesion with rhabdomyolysis in a polytrauma patient and emphasizes the importance of early diagnosis.

## Key findings

- The patient was diagnosed with a type 6 Morel-Lavallee lesion and rhabdomyolysis following a severe road traffic accident.
- Early identification and treatment led to a successful recovery despite multiple fractures and perineal injuries.
- Management included hydration, wound debridement, and surgical interventions for fractures and pelvic stabilization.

## Abstract

We describe the case of a 30-year-old man who allegedly had a history of road traffic accidents. While walking on the road, he was hit by a truck. He presented with complaints of facial injuries and being unable to move his right lower limb. On examination, there is a 15x4 cm lacerated wound in the perineal area, with left testes exposed; anal tone could not be assessed; the right lower limb is externally rotated; and deformity is present with palpable peripheral pulses. He was diagnosed with a right sacral ala fracture, a distal one-third shaft of the right tibia fracture, and a right suprapubic rami fracture. Ultrasound of the right thigh showed hematoma and subcutaneous edema all around the gluteal and inguinal regions and fluid collection in the right inguinal region, which is suggestive of Morel-Lavallee lesion (MLL) type 6. On day two of admission, urine was dark in color, and creatinine kinase was elevated, which is suggestive of rhabdomyolysis. He was managed with hydration, electrolyte correction for rhabdomyolysis, and wound debridement for MLL apart from perineal injury, right sacral ala fracture, right suprapubic rami fracture, and distal one-third shaft of the right tibia fracture, with perineal repair and loop colostomy, pelvic binder, and external fixator, respectively. Early identification of the MLL associated with rhabdomyolysis in this polytrauma patient led to recovery and a successful outcome.