Chijiwa Tsuyoshi, Domoto Hideharu
Division of Dermatology and Plastic Surgery, Japan Self Defense Force Yokosuka Hospital, 1766-1 Tauraminato, Yokosuka City, Kanagawa 237-0071, Japan.
J Plast Reconstr Aesthet Surg. 2006;59(7):764-7. doi: 10.1016/j.bjps.2005.12.003. Epub 2006 Feb 21.
We describe a patient with a chronic expanding haematoma developing in the right middle finger. Preoperative ultrasonography showed a cystic-like lesion upon the digital flexor tendon. Pathologic examination revealed a chronic organising haematoma surrounded by fibrous granulation tissue. Neither endothelial nor neoplastic cells were identified. We diagnosed this lesion as a chronic expanding haematoma (CEH) based upon the clinical course and pathological findings. The cause of our case was hypothesised to be repeated strain from the handle of heavy bag.
我们描述了一名右手中指出现慢性扩展性血肿的患者。术前超声检查显示指屈肌腱上有一个囊肿样病变。病理检查发现一个被纤维肉芽组织包围的慢性机化血肿。未发现内皮细胞或肿瘤细胞。根据临床病程和病理结果，我们将此病变诊断为慢性扩展性血肿（CEH）。我们推测该病例的病因是反复受到重包手柄的牵拉。
