Document Type
Report
Publication Date
9-4-2024
Abstract
Chronic expanding hematoma (CEH) is a rare entity that poses diagnostic and therapeutic challenges due to persistent growth, risk of recurrence, and potential for blood loss anemia. The most common etiologies of CEH are trauma or surgery. It is thought to occur due to irritant effects of blood breakdown products, causing bleeding from capillaries in chronic granulation tissue. Although treatment of CEH is variable, complete surgical excision of the hematoma and its pseudocapsule is the gold standard. We present a case of a 15-year CEH that was initially treated with limited evacuation of the hematoma and cavity decortication, resulting in recurrence. Ultimately, the patient was managed with complete excision of the pseudocapsule, closure of the cavity with quilting sutures, application of an absorbable hemostatic agent, and placement of a large drain, resulting in a successful outcome. This case highlights the efficacy of a comprehensive surgical plan in addressing CEH, emphasizing the importance of pseudocapsule excision in its entirety to prevent recurrence.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Galantini, Gianfranco; Mushtaq, Bakhtawar; Ottaway, Jesse; and Long, Charles, "Successful Treatment of a Chronic Recurrent Expanding Hematoma of the Thigh" (2024). Abington Jefferson Health Papers. Paper 108.
https://jdc.jefferson.edu/abingtonfp/108
PubMed ID
39234414
Included in
Chemical Actions and Uses Commons, Equipment and Supplies Commons, Pathological Conditions, Signs and Symptoms Commons, Surgery Commons, Therapeutics Commons
Comments
This article is the author's final published version in Plastic and Reconstructive Surgery - Global Open, Volume 12, Issue 9, September 2024, Pages e6133.
The published version is available at https://doi.org/10.1097/GOX.0000000000006133.
Copyright © 2024 The Authors