Endoscopic Debridement of a Morel-Lavallée Lesion Resulting in Rapid Healing and Return to Activity: A Case Report

We describe the case of a 65-year-old female who presented with worsening left hip pain after a high-energy fall. Subsequent imaging demonstrated a large fluid collection in the lateral thigh consistent with a Morel-Lavallée lesion. After initial drainage and compression therapy failed to alleviate her swelling and discomfort, she was taken to the operating room for endoscopic irrigation and debridement. An incisional negative pressure dressing was used post-operatively. The patient had rapid resolution of pain and return to activities. Morel-Lavallée lesions can be successfully managed with a minimally invasive endoscopic technique. This may be less traumatic to the involved soft tissues, lower the risk for post-operative infection, and improve cosmesis compared with open debridement.