Manenti Guglielmo, Cavallo Armando Ugo, Marsico Salvatore, Citraro Daniele, Vasili Erald, Lacchè Adriano, Forcina Marco, Ferlosio Amedeo, Rossi Piero, Floris Roberto
Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome "Tor Vergata," Viale Oxford, 81, 00133 Rome, Italy.
Anatomic Pathology Institute, Department of Biomedicine and Prevention, University of Rome "Tor Vergata," Rome, Italy.
Radiol Case Rep. 2017 Aug 25;12(4):801-806. doi: 10.1016/j.radcr.2017.07.019. eCollection 2017 Dec.
Soft-tissue hematomas are a common clinical entity often associated with trauma, surgery, and bleeding disorders. In the majority of cases, soft-tissue hematomas acutely appear and spontaneously resolve, but sometimes, they present as swellings that slowly expand and progressively increase with time. We present a case of a 70-year-old man with chronic expanding hematoma of the left flank without any history of recent trauma or other medical disease. The diagnosis could not be confirmed on imaging features alone, so the patient was taken to surgery for open biopsy and excision. In patients with slowly growing extremity masses without recent trauma or chronic medical disorders, the differential diagnosis becomes challenging, and chronic expanding hematoma should be considered in addition to soft-tissue sarcomas and other malignancies.
软组织血肿是一种常见的临床病症，常与创伤、手术及出血性疾病相关。在大多数情况下，软组织血肿急性出现并可自行消退，但有时会表现为肿胀，且随时间缓慢扩大并逐渐加重。我们报告一例70岁男性患者，其左侧胁腹有慢性扩展性血肿，近期无任何创伤史或其他疾病史。仅根据影像学特征无法确诊，因此该患者接受了手术，进行开放活检及切除。对于近期无创伤或慢性疾病的缓慢生长的肢体肿物患者，鉴别诊断具有挑战性，除了软组织肉瘤和其他恶性肿瘤外，还应考虑慢性扩展性血肿。
