Chronic Expanding Hematoma Following Abdominoplasty
Sayo Tatsuta1, Daichi Morioka2, Naoki Murakami1
1Department of Plastic and Reconstructive Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8866, Japan.
Aesthetic Plastic Surgery
|December 31, 2016
Summary
Chronic expanding hematoma (CEH) is a rare complication, here reported as a late finding after abdominoplasty. Prompt diagnosis and surgical removal are crucial for managing this underrecognized condition.
Area of Science:
- Plastic Surgery
- Surgical Complications
- Gastroenterology
Background:
- Chronic expanding hematoma (CEH) is a rare but serious complication following trauma or surgery.
- Abdominoplasty is a common cosmetic procedure, but potential complications require careful monitoring.
Observation:
- A 58-year-old woman developed a painful, enlarging abdominal mass one month after abdominoplasty.
- Imaging studies (ultrasonography and CT) suggested CEH.
- Surgical excision confirmed a chronic hemorrhage collection with a fibrous capsule, consistent with CEH.
Findings:
- This case represents the first reported instance of CEH as a late complication of abdominoplasty.
- The patient's refusal of a postoperative compression binder may have contributed to the hematoma formation.
- CEH may be underdiagnosed in abdominoplasty patients presenting with persistent hematomas.
Implications:
- Increased surgeon awareness is needed to recognize and diagnose CEH after abdominoplasty.
- Appropriate postoperative compression, despite potential risks, is vital for preventing hematoma development.
- Further investigation into the incidence and optimal management of CEH post-abdominoplasty is warranted.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
422
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
422
01:27Pneumothorax-II
1.3K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.3K