Preoperative arterial embolisations of a huge, chronic, expanding haematoma to inhibit intra-operative massive bleeding: a case report.
Chronic expanding haematoma is a rare disease that occurs months or years after surgical treatment or trauma and continues a slow growth thereafter. The first choice of treatment is complete resection, including the fibrous capsule; however, abundant new vascularisations beneath the capsule and fibrous adhesion to the surrounding tissues cause intra-operative massive bleeding. This article presents a case of a huge, chronic, expanding haematoma of the right chest 48 years after two surgical treatments. Preoperative arterial embolisations and covering the remaining capsule with a muscle flap inhibited massive bleeding and recurrence.
Kuriyama
Motone
M
Department of Plastic Surgery, Kochi Medical School Hospital, 185-1 Kohasu, Oko-cho, Nankoku, Kochi 783-8505, Japan. motone-k@kochi-u.ac.jp
Mitsukawa
Nobuyuki
N
D000368:Aged; D002908:Chronic Disease; D004621:Embolization, Therapeutic / Q000379:methods*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000628:therapy*; D006470:Hemorrhage / Q000517:prevention & control*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D008297:Male; D011300:Preoperative Care; D011859:Radiography; D016896:Treatment Outcome