DOI: 10.36347/sjams.2017.v05i11.055

Pages: 4593-4595

The effusion of Morel-Lavallée is a rare disease. Its rapid diagnosis is essential, based on the post-traumatic context and ultrasound. We collected 10 cases of young patients who developed this syndrome in the orthopedic surgery department at Ibn Sina hospital in Rabat, over a period of 3 years between 2014 and 2016. The average age of our patients was 22 years and 80% were men. 70% of them developed the effusion as a result of a motorcycle accident. The effusion was located in the trochanteric region in 6 cases, the thigh in 3 cases and the gluteal region in 1 case. The mean time between the trauma and the occurrence of the effusion was 13 days. The ultrasound of the soft parts, realized in all our patients, has objectified an effusion varying between 500 cc and 2 liters, with an average of 1.04 liter. Eight patients evolved well after a single puncture, one patient required a second puncture, whereas in one patient, non-improvement after the first puncture led us to perform surgical drainage.