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Management of recurrent post-traumatic seroma of thigh (Morel-Lavallée lesion) by percutaneous aspiration and sclerotherapy using tetracyclines (PAST)
  1. Arunesh Gupta,
  2. Vineet Kumar,
  3. Apurva Agarwal and
  4. Aneesh Suresh
  1. Plastic Surgery, Topiwala National Medical College, Mumbai, India
  1. Correspondence to Dr Vineet Kumar; vineet07150{at}


Morel-Lavallée lesion is a chronic, recurrent collection of serous fluid in the soft tissues and usually occurs following injury. The most common sites are thigh, hip and pelvic region. This presents as a local or diffuse swelling and may cause discomfort to the patient besides being a potential site for bacterial contamination. So, early diagnosis and timely management is crucial for an early and successful outcome. The investigation modality of choice for diagnosis of these lesions is MRI. Definitive management ranges from percutaneous aspiration with or without sclerotherapy to open debridement and irrigation. Although recurrences are common with conservative management, it can be minimised with judicious use of sclerotherapy.

  • plastic and reconstructive surgery
  • general surgery

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  • Contributors The specific contributions made by each author. Concept and design of study: AG, VK and AA. Acquisition of data: AA. Analysis and/or interpretation of data: AG and VK. Drafting the manuscript: AG, VK and AS. Revising the manuscript critically for important intellectual content: AG, VK and AS. Approval of the version of the manuscript to be published: AG, VK, AA and AS.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.