Brief Answer:
Not a blood clot..No urgency

Detailed Answer:
Hi and thank you so much for this query.

I am sorry about this lump and the troubling thoughts it has caused you both. Hope she is coming along great after her hysterectomy.

From the description of this lump, it is no where close to a blood clot. A blood clot will rarely get that big and also not cause pain and some swelling on the affected leg. This is completely off the table and should not be a problem to you. I understand your worry and it is real but i recommend that you stay calm.

The acute onset of this lump suggest that is is an acute process or something that has gone unnoticed before. The most common cause of swellings like these are lipomas. A lipoma is a collection of fatty tissue and it is most common in fat persons. They generally grow progressively over time. Did she get any trauma to her thigh? this could be a bleed into the skin tissues but all this without pain is less likely.

She would need an exam to determine what the lump is. I am confident it is not related to the surgery. I am more of the fact that it might have just become noticeable recently and may actually represent a lipoma. There is no need for an emergency visit. Patiently wait until she sees her surgeon this Friday.

I hope this addresses your query fully. I wish her the best of possible outcomes with her appointment. Thanks for using our services and feel free to ask for clarifications if need be. Thanks.
Dr. Ditah, MD

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Brief Answer:
Thanks

Detailed Answer:
After hysterectomy, the blood flow is generally reduced in the legs as a result of the immobility following surgery. This leads to an increased risk of blood clotting in the veins. This puts the patient at risk of lungs and brain injuries. Though this is a possibility, rarely would this clot be visible and that big to the naked eyes. We always need laboratory investigations and a doppler ultrasound to make this diagnosis. I have never seen a palpable blood clot in relation to deep venous thrombosis(DVT) before. Also a clot without pains?????? I very much doubt it

It is easy to tell whether the leg is fatter than the other or not. Please use a tape and get objective measurements. I am afraid that the fear of DVT would make you to see some more signs like the leg being fatter than it is actually the case. Get it measured and talk with concrete numbers.

However, when ever you are too concerned about something and fear the consequences, then go for an emergency visit. I have assured you that this sees very unlikely to be a condition the necessitates urgent care but I can tell you still think otherwise. The choice to go in now is entirely yours and I will not recommend so either unless, some more information comes up.

I hope this helps. I wish her well.
Dr. Ditah, MD

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Brief Answer:
Thanks in advance for the updates.

Detailed Answer:
Hi and thank you so much for this follow up.

I am very happy and look forward to receiving your updates after the visit. It is such a wonderful thing and many at times it is exactly what we miss here: Knowing what has happened down the road. Again, I will very much appreciate this.

Please, do not respond to this query just now because I must answer within 17hours. Else it would be considered non professional. Just come back with the updates and we can continue from there.

I wish her the very best of possible outcomes during this visit.
Hope to hear from you.

Dr. Ditah, MD

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