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Suggest Treatment For Hematoma In Groin Area

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Posted on Thu, 27 Aug 2015
Question: hi, doctor -- I have a hemotoma in the groin from a stent insertion in the illliac artery, where the gel plug failed. Can you suggest treatment and tell me how long before it heals?
doctor
Answered by Dr. Rishi (26 minutes later)
Brief Answer:
Confirm it is Hematoma. Treat it as below.

Detailed Answer:
Hello XXXXXXX
When was the procedure done and how was the hematoma confirmed?
This complication is fairly common.
My only worry is that it should not be a Pseudoaneurysm or a AV fistula due to the arterial puncture. If they have not done then you should get a Color Doppler test of the groin to rule out the above two possibilities.
Once it is confirmed that it is a hematoma, you need to apply pressure with a pressure bandage, Heparin ointment, warm compresses and anti inflammatory medicines. Rarely, the hematoma can get infected in which scenario you need to take antibiotics. You will know that there is infection if there is pain, redness, fever and difficulty in moving the part. In that case, you should go back to the Doctor who did the procedure who would be able to advice you the medications How long it will take to heal depends upon the size of the hematoma, patients age, etc. Most hemaotmas resolve over 3 to 4 weeks.
You could also send us a photo of the site so we can get a better idea.
Do not worry, it will be better soon.
Take care,
Dr Rishi, New XXXXXXX
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rishi

General Surgeon

Practicing since :1999

Answered : 1312 Questions

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Suggest Treatment For Hematoma In Groin Area

Brief Answer: Confirm it is Hematoma. Treat it as below. Detailed Answer: Hello XXXXXXX When was the procedure done and how was the hematoma confirmed? This complication is fairly common. My only worry is that it should not be a Pseudoaneurysm or a AV fistula due to the arterial puncture. If they have not done then you should get a Color Doppler test of the groin to rule out the above two possibilities. Once it is confirmed that it is a hematoma, you need to apply pressure with a pressure bandage, Heparin ointment, warm compresses and anti inflammatory medicines. Rarely, the hematoma can get infected in which scenario you need to take antibiotics. You will know that there is infection if there is pain, redness, fever and difficulty in moving the part. In that case, you should go back to the Doctor who did the procedure who would be able to advice you the medications How long it will take to heal depends upon the size of the hematoma, patients age, etc. Most hemaotmas resolve over 3 to 4 weeks. You could also send us a photo of the site so we can get a better idea. Do not worry, it will be better soon. Take care, Dr Rishi, New XXXXXXX