Chronic Expanding Organized Hematoma of the Lower Leg

Wollina, Uwe; Heinig, Birgit; Langner, Dana

doi:10.1177/1534734615571129

Cited by 5 publications

(6 citation statements)

References 13 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,6,7 The rare causes include calcinosis cutis, prolidase deficiency, and chronic expanding hematoma. [8][9][10] The pathological etiology of venous leg ulcers is not fully understood. Most practitioners believe that venous hypertension, venous reflux, venous obstruction, weak vein wall, and insufficiency of gastrocnemius pump is the main cause of lower extremity ulcer.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Rare Case of Recurrent Lower Extremity Ulcer

Wei

Song

2019

The International Journal of Lower Extremity Wounds

View full text Add to dashboard Cite

Venous leg ulcers are a manifestation of lower extremity chronic venous disorder. Venous hypertension caused by abnormal venous blood flow is considered to be the primary mechanism of venous ulcers. The etiology of lower extremity venous ulcer is complicated, and it is difficult to be treated. At present, it has achieved a certain effect for venous leg ulcers through the combination of drugs, pressure therapy, and surgical treatment. Budd-Chiari syndrome is a rare syndrome characterized by portal hypertension and/or inferior vena cava syndrome. Treatment of Budd-Chiari syndrome includes anticoagulation, thrombolysis, angioplasty, stenting, transjugular intrahepatic portosystemic shunt, and liver transplantation. This article reports an elderly female patient with recurrent ulceration of both lower extremities that healed poorly after long-term dressing and skin grafting. During further examination, she was found to have Budd-Chiari syndrome. Through multidisciplinary treatment, which includes removing the inferior vena cava stenosis and implanting the ulcer wound, the ulcer wounds then healed.

show abstract

Section: Discussionmentioning

confidence: 99%

“…4,6,7 The rare causes include calcinosis cutis, prolidase deficiency, and chronic expanding hematoma. 8-10…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Recurrent Lower Extremity Ulcer

Wei

Song

2019

The International Journal of Lower Extremity Wounds

View full text Add to dashboard Cite

show abstract

“…Differential diagnoses include hernias, chronic expanding organized hematoma, cystic lesions of epithelial, mesothelial, and other origin (germ cell tumors, sex cord gonadal stromal tumors, cystic mesenchymal tumors, fibrous wall tumors, and infectious cystic peritoneal lesions), lymphangiomas and posttraumatic oily pseudocysts [ 9 ][ 10 ][ 11 ]. The fibrous pseudocapsule of chronic seroma results in different degrees of deformities, abdominal scar deviation and asymmetry.…”

Section: Discussionmentioning

confidence: 99%

Chronic Encapsulated Seroma Persisting for Three Years after Abdominoplasty and a Successful Surgical Solution

Goldman¹,

Wollina²,

França³

et al. 2018

Open Access Maced J Med Sci

Self Cite

View full text Add to dashboard Cite

Abdominoplasty is listed among five most common esthetic surgical procedures in the Western World. Despite all efforts, abdominoplasty bears a high risk of complications. We observed a 39-year-old-woman with previous classical abdominoplasty performed elsewhere three years ago. Clinical examination demonstrated a swollen and tense abdominal mass. Laboratory findings were normal. Clinical examination was completed by abdominal ultrasonography which demonstrated both, a significant fluid volume in this area and a dense fibrous “capsule”. The diagnosis was a late or chronic encapsulated seroma with a thick pseudocapsule or “bursa”. We performed a revision abdominoplasty with a standard supra-fascial dissection. Surgical resection of infra-umbilical flap containing skin, subcutaneous tissue and capsulectomy were performed under general anaesthesia. A new umbilicus was created attaching small skin flaps in the muscular fascia. No drains were used. We observed no seroma formation. Follow up after six and ten months was unremarkable. The fibrous pseudocapsule of chronic seroma results in different degrees of deformities, abdominal scar deviation and asymmetry. Surgical capsulectomy combined with revision abdominoplasty with preservation of Scarpa’s fascia and placement of progressive tension sutures resulted in being effective and leads an esthetic outcome without seroma recurrence.

show abstract

“…Even though very rare, there have been reports of organized hematoma on other body part including retroperitonium, thigh and lower leg rather than sinonasal cavity. 6 7 8 In addition, there was one case with similar pathology, involving TMJ, and authors introduced this lesion as a hematic cyst. 9 However, Bergin et al 10 stated that hematic cyst was basically describing the same pathologic entity as organized hematoma, thus, the current case was the second report of this unusual disease, as far as the author knows.…”

Section: Discussionmentioning

confidence: 99%

Organized hematoma of temporomandibular joint

2018

View full text Add to dashboard Cite

Organized hematoma is a pseudo-tumorous lesion mostly occurs at sinonasal cavity and often confused with malignant neoplasm. The initiation of this lesion is blood accumulation, probably due to trauma, and this hematoma develops into organized hematoma as it encapsulated with fibrous band and neo-vascularized. Since it is uninformed at temporomandibular joint (TMJ) region, imaging diagnosis might be challenging. Also, delayed detection of mass involving TMJ is not uncommon due to confusion with joint disorder. Thus, this report introduced the rare pathology, organized hematoma on TMJ with advanced imaging features. Also, diagnostic point for early detection was described for the TMJ tumors and pseudo-tumors considering complexity of surgical intervention in this region.

show abstract

Chronic Expanding Organized Hematoma of the Lower Leg

Cited by 5 publications

References 13 publications

A Rare Case of Recurrent Lower Extremity Ulcer

A Rare Case of Recurrent Lower Extremity Ulcer

Chronic Encapsulated Seroma Persisting for Three Years after Abdominoplasty and a Successful Surgical Solution

Organized hematoma of temporomandibular joint

Contact Info

Product

Resources

About