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Suggest Treatment For Hematoma On The Buttock

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Posted on Tue, 14 Feb 2017
Question: Hi doctor, I have a large hematoma on my right buttocks since XXXXXXX It does not hurt. And it has dissipated slightly but hard lumps still there. Will it heal eventually?
Thank you.

If you say yes, the hematoma will heal eventually. How long do you estimate?

Also, I had cataract surgery in XXXXXXX on my left eye and I have flickering in my left eye when there is indoor light or sunlight. Will it go away?
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
Soft tissues ultrasound should be done.

Detailed Answer:
Hello.

Thank you for the query.

Usually hematoma dosappears without medical attention by itself. It takes up to 4 weeks (its a slow process). However in some cases large fluid collections can appear. In such case without drainage, abscess can appear.
That is why I suggest you to consult your doctor and have soft tissues ultrasound.
Eye flickering should go away by itself.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (15 minutes later)
I guess you missed what I said. Four weeks would have been wonderful.
I now have the hematoma for more than SIX MONTHS.. My doctor recommends
ANOTHER cat scan. The first one was done in Aug. Should I do the cat scan or ultrasound? My doctor recommended a second cat scan.
Would that be your recommendation?

And I have the eye twitching in left eye from cataract surgery for 7 months. I hesitate to do the right eye because it would be awful if that flickered too.

Thanks Dr. Stanko
doctor
Answered by Dr. Grzegorz Stanko (45 minutes later)
Brief Answer:
AngioCT should be done.

Detailed Answer:
That changes a lot. I have missed that you have it for so long. In such case, you should go for a CT scan for sure. But not the regular one. You should have a CT called angio CT. This type of CT can visualize possible bleeding from the artery.
As the hematoma is present for so long, there must be some arterial bleeding. Otherwise it would be gone long time ago. If such blood vessel is identified, can be obstructed with a procedure called embolisation (done without any surgery).

It would be also good to check your INR and consider switching cumadin to heparin for the hematoma treatment time.

If its about twitching, indeed it lasts too long. And it may stay like that especially if its about sunlight reaction. You should try dark glasses, and give it some more time (a year from the surgery). The eye can adjust to new situation, however it may stay like that for ever.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (15 days later)
Thank you Doctor. But I have another question. After the cataract surgery, 6/4/16, I developed swelling under the eye. It is now 8 months later and I still have it. I was reading something about a condition called uveitis (spelling?). Can you tell me more about it? Thank you.
doctor
Answered by Dr. Grzegorz Stanko (2 days later)
Brief Answer:
This does not seem to be uveitis.

Detailed Answer:
Uveitis is rather something very progressive and does not stay the same for such long time. The main reason of this condition remains unknown. For sure, pathological reaction of immune system against uvea is the main problem. Eye redness and worsening of seeing are the main symptoms of this condition.
Your swelling can be a reaction to the new, artificial lens. Most likely temporal usage of steroids should help with this problem.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Suggest Treatment For Hematoma On The Buttock

Brief Answer: Soft tissues ultrasound should be done. Detailed Answer: Hello. Thank you for the query. Usually hematoma dosappears without medical attention by itself. It takes up to 4 weeks (its a slow process). However in some cases large fluid collections can appear. In such case without drainage, abscess can appear. That is why I suggest you to consult your doctor and have soft tissues ultrasound. Eye flickering should go away by itself. Hope this helps. Regards.