title: Chronic Expanding Hematoma Following Abdominoplasty.
abstract: Chronic expanding hematoma (CEH) is a relatively rare complication of trauma or surgery. We report a patient with CEH as a late complication of abdominoplasty. A 58-year-old woman underwent conventional abdominoplasty and thereafter refused to use a compression binder, citing discomfort. One month postoperatively, she presented with a gradually enlarging, painful abdominal mass. The results of ultrasonography and computed tomography were highly suspicious for CEH. The lesion was completely removed, together with surrounding fibrous tissue. Histopathology revealed a chronic hemorrhage collection with a fibrous capsule, consistent with CEH. This condition as a late complication of abdominoplasty has not previously been reported in the literature. However, an online medical consultation site features several abdominoplasty patients asking about persistent hematomas that sound suspicious for CEH. CEH might be underdiagnosed by surgeons. Although a postoperative binder may increase the risk of skin necrosis and deep vein thrombosis, appropriate compression treatment is necessary to prevent hematoma formation. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Department of Plastic and Reconstructive Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8866, Japan.
authors.forename: Sayo
authors.initials: S
authors.lastname: Tatsuta
authors.affiliation: Department of Plastic and Reconstructive Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8866, Japan. dmorioka@gmail.com.
authors.forename: Daichi
authors.initials: D
authors.lastname: Morioka
authors.affiliation: Department of Plastic and Reconstructive Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8866, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Murakami
authors.affiliation: Department of Plastic and Reconstructive Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8866, Japan.
authors.forename: Fumio
authors.initials: F
authors.lastname: Ohkubo
mesh_terms: D061645:Abdominoplasty / Q000009:adverse effects* / Q000379:methods; D015992:Body Mass Index; D002908:Chronic Disease; D058128:Compression Bandages; D018450:Disease Progression; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011379:Prognosis; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: Abdominoplasty; Chronic expanding hematoma; Compression binder; Late complication