Repair of a gluteal Morel-Lavallee lesion with complex perineal laceration in a 44-year-old female: a case report

Morel-Lavallee lesions (MLL) are closed soft tissue degloving injuries that are primarily associated with high impact blunt trauma. The prognosis of MLL is dependent on a variety of factors, mainly severity and extent of other injuries. There is no current standard treatment protocol. There have been few reported cases of MLL with associated perineal lacerations. Here, we report a case of a 44-year-old female with a gluteal MLL with complex perineal laceration and anal laceration following a motor vehicle collision. The MLL was treated with open irrigation and placement of Jackson-Pratt drains in the subcutaneous space followed by repair of the extensive laceration. The patient's post-operative course was complicated by wound dehiscence, and effectively treated with repeat debridement and local wound care. Our case details an approach for management and subsequent complication of this rare injury.