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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Haematoma

My 88 yr. old mother has a golf ball size lump in anterior axilla area, diagnosed as hematoma, saw general surgeon who drained 30cc of dark red blood and then it refilled and he drained 25 cc of blood, and advised surgery. He is not sure of why the refill of blood. CT scan and mammogram indicated "hematoma" . This started Aug.6. and seen by surgeon on 9/2. Any ideas of where the blood is coming from? Should we consult a vascular or other surgeon for 2nd opinion? Thank you.
Sat, 21 Jun 2014
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General Surgeon 's  Response
Hello!

Thank you for the query.

Such situation is usually caused by anticoagulants like Aspirine or Warfarine taken for heart diseases or other vascular problems. She may also have some blood clotting problems.
No need to consult vascular surgeon. She should rather consult hematologist and consider blood clotting diagnostics.
Incision and hematoma drainage seems necessary otherwise it will turn into abscess.

Hope this will help.
Regards.
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Suggest Treatment For Haematoma

Hello! Thank you for the query. Such situation is usually caused by anticoagulants like Aspirine or Warfarine taken for heart diseases or other vascular problems. She may also have some blood clotting problems. No need to consult vascular surgeon. She should rather consult hematologist and consider blood clotting diagnostics. Incision and hematoma drainage seems necessary otherwise it will turn into abscess. Hope this will help. Regards.