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Traumatic abscess of pectoralis major

K Chapple1, C Kelty, L R Irwin

  • 1Department of Orthopaedics, St. James' University Hospital, Leeds, UK.

Insights

Pectoralis major rupture, though uncommon, can lead to complications. This case highlights an infected hematoma following a partial pectoralis major rupture, complicating diagnosis.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Pectoralis major rupture is an uncommon injury.
  • Complications are rare but can occur.
  • Hematoma formation is a known sequela.

Observation:

  • An unusual case of a partial pectoralis major rupture is presented.
  • The resultant hematoma became infected.
  • This infection complicated the diagnostic process.

Findings:

  • Infected hematoma following pectoralis major rupture is exceedingly rare.
  • Diagnostic challenges arise due to atypical presentation.
  • This represents the second reported case globally.

Implications:

  • Clinicians should consider infected hematoma in the differential diagnosis of pectoralis major injuries.
  • Prompt recognition and management are crucial for favorable outcomes.
  • Further research may be warranted on the pathogenesis and management of infected hematomas in this context.

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