LeBron James was ejected after elbowing Isaiah Stewart amid wild scenes as scuffles broke out in Sunday's clash between the Detroit Pistons and Los Angeles Lakers.

Stewart was left bloodied and incensed by the elbow, repeatedly running at Lakers superstar James in the wake of the incident, having to be separated by team-mates and coaches.

James was tossed from the game for a flagrant foul 2, along with Stewart as part of the incident which escalated out of control in Detroit, where Lakers star Russell Westbrook was hit with a technical.

It occurred early in the third quarter when James and Stewart jostled for position upon Jerami Grant's second free throw as the Pistons led 78-66.

James' left elbow struck Stewart in his right eye, with the Pistons center initially approaching the four-time MVP with relative calmness, before boiling over and refusing to leave the court with retribution on his mind.

Stewart would not relent, repeatedly charging at James and was eventually ushered off the court, although he broke free down the tunnel, creating further concern.

After the incident and upon consultation with replays, the referees opted to eject four-time NBA champion James for the elbow.

James had scored 10 points on four-of-seven shooting from the field, to go with five assists, one rebound and two assists in 21 minutes.