Chronic expanding hematoma in the stumps of persons following transfemoral amputation: A report of two cases.
作者信息
Takakura Tomokazu, Mikami Taro, Nishioka Yasuko, Nemoto Akinobu, Mizuochi Kazuya
机构信息
Department of Rehabilitation Medicine, Yokohama City University, Yokohama, Japan Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Japan
Department of Plastic and Reconstructive Surgery, Fujisawa Shounandai Hospital, Fujisawa, Japan.
出版信息
Prosthet Orthot Int. 2014 Jun;38(3):243-7. doi: 10.1177/0309364613494994. Epub 2013 Jul 25.
BACKGROUND
Two persons presented with severe stump pain following transfemoral amputation.
CASE DESCRIPTION AND METHODS
A 21-year-old female and a 31-year-old male with transfemoral amputation were ambulatory with prostheses and suffered from severe stump pain caused by the presence of masses around the tip of the bone stump. From the clinical courses, imaging studies, and the intraoperative findings, the masses were diagnosed as a relatively rare condition known as chronic expanding hematoma.
FINDINGS AND OUTCOME
The two patients were treated successfully with surgical resection. The hematomas were soft cystic masses with a thick capsule containing old blood clots and serous fluid. There were no pathological signs of malignancy. After surgical treatment, the patients achieved walking without stump pain.
CONCLUSION
Although chronic expanding hematoma is a rare condition, it should be considered as a possible cause of stump pain.
CLINICAL RELEVANCE
Stump pain is caused by many conditions. Although chronic expanding hematoma is a rare condition, it should be considered as a possible cause of stump pain.
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