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Hematoma in a latissimus dorsi donor site 21 months after surgery
W C Lineaweaver1, G M Buncke, H J Buncke
1Microsurgical Replantation Transplantation Department, Davies Medical Center, San Francisco, CA 94114.
Following strenuous upper extremity exertion, a 40-year-old man experienced pain and swelling in a latissimus dorsi donor site 21 months following harvest and microsurgical transfer of the muscle. Examination and aspiration proved the mass to be a hematoma, and 595 cc of blood were evacuated with resolution of swelling. Late hematoma in a latissimus dorsi donor site must be distinguished from ventral hernia and can be managed by aspiration.
Following strenuous upper extremity exertion, a 40-year-old man experienced pain and swelling in a latissimus dorsi donor site 21 months following harvest and microsurgical transfer of the muscle. Examination and aspiration proved the mass to be a hematoma, and 595 cc of blood were evacuated with resolution of swelling. Late hematoma in a latissimus dorsi donor site must be distinguished from ventral hernia and can be managed by aspiration.