Marquez-Gil Karolina Y, Mesa Elvis, Kouka Nabeel, Fonarov Ilya, Casadesus Damian
Medicine, St. George's University School of Medicine, New York, USA.
Medicine, Jackson Memorial Hospital, Miami, USA.
Cureus. 2023 Aug 11;15(8):e43338. doi: 10.7759/cureus.43338. eCollection 2023 Aug.
Patients presenting with a post-invasive procedure hematoma can be treated with medicinal leeches to evacuate the hematoma. Our patient, a postmenopausal woman in her 60s, with a past medical history of hypothyroidism, presented to the outpatient clinic with pain, redness, warmth, and swelling on her right thigh. Ten days prior, the patient had undergone a subcutaneous pellet implant procedure in the right thigh for hormonal replacement therapy. The patient developed post-procedure cellulitis and soft tissue infection and was treated with antibiotics. The patient developed a progressively enlarged hematoma at the implant site. The hematoma was treated with medicinal leeches. Two weeks after treatment, the implant area healed. The patient had a family history of von Willebrand disease and a history of prolonged bleeding during childbirth, menstruation, and dental procedures. A von Willebrand panel was obtained, and the results were consistent with a new diagnosis of von Willebrand disease.
出现侵入性手术后血肿的患者可用药用水蛭来清除血肿。我们的患者是一位60多岁的绝经后女性，有甲状腺功能减退的既往病史，因右大腿疼痛、发红、发热和肿胀到门诊就诊。十天前，该患者因激素替代疗法在右大腿接受了皮下植入丸剂手术。患者术后发生蜂窝织炎和软组织感染，并接受了抗生素治疗。患者在植入部位出现了逐渐增大的血肿。该血肿用药用水蛭进行了治疗。治疗两周后，植入区域愈合。患者有血管性血友病家族史，在分娩、月经和牙科手术期间有出血时间延长的病史。进行了血管性血友病检测，结果与血管性血友病的新诊断一致。
