Brito Yesenia, Wilson Bruce W, Takieldin Zaid, Edah Elizabeth, Tiesenga Frederick
Surgery, Saint George's University School of Medicine, True Blue, GRD.
Psychiatry, Saint George's University School of Medicine, Irvine, USA.
Cureus. 2023 Dec 31;15(12):e51413. doi: 10.7759/cureus.51413. eCollection 2023 Dec.
A hematoma is a collection of pooled blood that can be confined to a space under the skin, tissue, or organ. It occurs due to injury to the vasculature arising from trauma, previous surgeries, or vascular defects. Anticoagulants can remarkably increase a patient's risk for hematoma formation. Most hematomas will resolve spontaneously over time, but there are certain instances where surgical intervention becomes necessary. We present a case of a 71-year-old female on anticoagulants who presented to the emergency department (ED) with an expanding hematoma on her right leg after a fall and had to undergo an emergency surgical evacuation. The etiology, appropriate management, and complications of hematomas will also be covered in this paper.
血肿是血液积聚形成的，可局限于皮肤、组织或器官下方的空间。它是由创伤、既往手术或血管缺陷导致的脉管系统损伤引起的。抗凝剂会显著增加患者形成血肿的风险。大多数血肿会随着时间自行消退，但在某些情况下需要进行手术干预。我们报告一例71岁女性患者，她正在接受抗凝治疗，跌倒后右腿出现血肿且不断扩大，随后前往急诊科就诊，不得不接受紧急手术引流。本文还将讨论血肿的病因、恰当的处理方法及并发症。
