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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Large Hematoma

/Hi my name is Jacque. I had surgery on 129/13, for a intusseption at he Y of a gastric bypass that I had in 2002, and a internal abdominal hernia with carserated bowel. I had a lump 7 days post op with no pain until 3 weeks post op. I sought medical attention from a vascular surgeon, that I had used in the past in my local town, My initial surgery was done in Denver. the local surgeon diagnosed me with a large hematoma. he recommended that we let it reabsorb, and I have continued to follow up with him every 2-3 weeks since. My question is- I have had low grade fevers, extreme pain, and now edema mostly in my hands. The pain has become more irregular, and the 3 long mass to the right of my incision has by touch decreased in size. However I am worried about a possible infection as I still have low grade fevers and chills off and on, and have edema. After experiencing the edema I called my original surgeon for advise, he recommended a ct. I am scheduled for a CT on Monday. is it possible that I have a peritoneal infection or sepsis? I had blood work done at a health fair on 1/16/14. the results were a normal CBC, CMP, the only abnormal lab was a ferritin serum at 269. it seems that there was no infection then, but could I have developed an infection since then?
Mon, 24 Nov 2014
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Podiatrist 's  Response
Jacque, if at any point the body doesn't resorb the hematoma it can possibly become a source for infection. I would recommend that you continue with your CT on Monday. Also contact your doctor first thing Monday morning to make him aware of your fevers and extreme pain. You may need to have new blood work done to assess for infection. Also watch for any local redness around the site of the hematoma.
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Suggest Treatment For Large Hematoma

Jacque, if at any point the body doesn t resorb the hematoma it can possibly become a source for infection. I would recommend that you continue with your CT on Monday. Also contact your doctor first thing Monday morning to make him aware of your fevers and extreme pain. You may need to have new blood work done to assess for infection. Also watch for any local redness around the site of the hematoma.