title: Chronic Expanding Organized Hematoma of the Lower Leg: A Rare Cause for Nonhealing Leg Ulcers.
abstract: Chronic expanding hematoma is a rare entity on the leg. A 55-year-old women presented with 2 small nonhealing leg ulcers. On examination we observed a painless bulky tumor-like mass that developed slowly after deep soft tissue infection almost 2 years ago. Vascular computed tomography suggested an organized hematoma. Important differential diagnoses include sarcoma and lymphoma. Treatment of choice is surgery. Histology confirmed the diagnosis of an organized hematoma. Chronic expanding hematoma is a rare cause of nonhealing leg ulcers.
authors.affiliation: Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany wollina-uw@khdf.de.
authors.forename: Uwe
authors.initials: U
authors.lastname: Wollina
authors.affiliation: Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
authors.forename: Birgit
authors.initials: B
authors.lastname: Heinig
authors.affiliation: Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
authors.forename: Dana
authors.initials: D
authors.lastname: Langner
mesh_terms: D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex; D014945:Wound Healing
keywords: chronic expanding hematoma; leg ulcers; organized hematoma; soft tissue infection