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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Car Accident, Abdominal Contusion, Back Sprain, Belly Grown, Lump On Left Side, Painful

I was in a car accident two days ago. The ER diagnosed me with abdominal contusion and back sprain . Since the my belly has grown by 14 inches around and it s hard as a rock. I also have a fist sized lump on my left side toward the front that is warm to the touch and red. When i sit, stand, cough , sneeze or just about anything that lump area gets a sharp stabbing pain that bring me to my knees. Is this normal or should I return to the ER.
Mon, 4 Jun 2012
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General & Family Physician 's  Response
Hi,

Welcome to Healthcaremagic.

This is not normal and you have to rush to the ER now as it could be a large haematoma which may resolve but there could be a site of bleeding which can open up any time.

Also damage to the vascular organs like liver can be suspected here which needs imaging test to rule out.

Wish you god health.


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General Surgeon Dr. Inderjeet Yadav's  Response
hi
you should contact ER because it must be due to hematoma due to tearing of some abdominal wall blood vessel. it might require drainage of hematoma and ligation of vessel . if left untreated it might get infected leading to abdominal wall gangrene
you should take it seriously
you should also get abdominal CT scan , ultrasound will not be effective in presence of hematoma of abdominal wall
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Car Accident, Abdominal Contusion, Back Sprain, Belly Grown, Lump On Left Side, Painful

Hi, Welcome to Healthcaremagic. This is not normal and you have to rush to the ER now as it could be a large haematoma which may resolve but there could be a site of bleeding which can open up any time. Also damage to the vascular organs like liver can be suspected here which needs imaging test to rule out. Wish you god health.