Imaging Features of Chronic Expanding Hematoma in the Soft Tissues of the Hand Simulating an Aggressive Lesion: Case Report

Oliveira, Paulo Cesar Rocha; Martins, Bernardo Jose Alves Ferreira; Martins, Graciela Lacerda; Monteiro, Altamir; Batista, Katia Torres

doi:10.1016/j.jhsa.2011.05.033

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…According to one study, 75% (25/33) of patients with CEH have undergone surgery or experienced trauma in the past 10) . However, another study reported unprovoked CEH 6) . According to a study conducted in Japan, 21.6% (8/37) of patients with CEH use antiplatelet or anticoagulant medications, indicating that a history of antithrombotic drug use may be a risk factor for CEH 4) .…”

Section: Discussionmentioning

confidence: 99%

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A Case of Chronic Expanding Hematoma of the Digit Cured by En Bloc Resection

Hayakawa,

Kondo,

Yasumura

et al. 2023

International Journal of Surgical Wound Care

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Chronic expanding hematoma (CEH) is defined as a hematoma that gradually increases in size over one month or longer. Typically, CEH affects soft tissues and subcutaneous layers. Only a few studies have documented CEH of the upper limbs 1) , and CEH of the digits is extremely rare. Here, along with relevant literature, we report a rare case of CEH of the dorsum of the thumb. Case presentationThe patient was an 81-year-old woman with no significant family history. She was on antiplatelet medications (ethyl icosapentate and limaprost alfadex) for hyperlipidemia and asymptomatic cerebral infarction. Current medical historyA subcutaneous mass accompanied by pain developed in the right thumb approximately two years prior to the initial examination. However, it is unclear whether the patient has a history of trauma. She visited a local clinic because of the gradual enlargement of the mass. Ultrasonographic findings suggested angioma; therefore, the patient visited our department for further examination and treatment.A subcutaneous mass with a major axis of approximately 20 mm was found on the radial side of the center of the proximal phalanx of the dorsum of the right thumb. The overlying skin was smooth and pale bluish purple (Fig. 1). The mass was elastic and displayed poor mobility on palpation. Ultrasonography revealed an irregular, slightly hypoechoic subcutaneous mass (approximately 15 mm) with relatively clear boundaries above the proximal phalanx. Power Doppler

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Section: Discussionmentioning

confidence: 99%

“…CEH of the upper limbs has been documented in a few studies 1) . To the best of our knowledge, only four cases of CEH in the digit are reported 1,[6][7][8] . The clinical characteristics of five patients with CEH, including our patient (Table 1), were compared.…”

Section: Discussionmentioning

confidence: 99%

A Case of Chronic Expanding Hematoma of the Digit Cured by En Bloc Resection

Hayakawa,

Kondo,

Yasumura

et al. 2023

International Journal of Surgical Wound Care

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“…17 Complete excision of the haematoma and its fibrous capsule, followed by subcutaneous and cutaneofascial sutures to reduce dead space is the preferred treatment for chronic expanding haematomas. 18,19 Aspiration or suction drainage and compression bandaging have been suggested for small post-traumatic lesions; however large haematoma in humans frequently recur despite repeated aspiration over long durations (6 months to 33 years). 1,4,20 Compression bandaging was unsuccessful in the lace monitor, while early surgical excision resulted in a rapid recovery following recurrence.…”

Section: Discussionmentioning

confidence: 99%

Expanding haematoma in a lace monitor (Varanus varius)

Hill

2021

Vet Record Case Reports

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A captive adult male lace monitor (Varanus varius) was presented with a progressive haematoma of the right shoulder associated with a scapular fracture and arterial rupture. Conservative therapy was ineffective. Closed debridement and talc sclerodhesis effectively collapsed the haematoma; however, subsequent necrosis of the overlying skin required open debridement for resolution by 17 weeks following admission.

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“…affecting soft tissues of the hand had been previously reported, one in the finger 3 and another in the ulnar edge. 4 Although rare, CEH should be included in the differential diagnosis of a slow-growing soft tissue mass of the hand, particularly in individuals with a subacute history of trauma or surgery, mainly when the patient presents a disease that could inhibit his pain.…”

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confidence: 99%