Hematoma Evolutivo
Paciente femenina 69 años de edad con área hiperpigmentada ( hematoma ) en región anterior del muslo izquierdo. La paciente ha estado ingiriendo clopidogrel (un anticoagulante ). El examen sonografico con transductor linear de 10,0 MHz muestra que en tejido celular subcutáneo se encuentra masa con dos zonas claramente diferenciadas, la anterior, de aspecto homogéneo y la posterior, con cavidades liquidas.Son imagenes compatibles con hematoma evolutivo representando la parte anterior la sangre coagulada y la zona posterior la sangre que aun permanece liquida. La lesión en su conjunto mide aprox 5,5 X 5,6 X 3,7 cm con un volumen aprox de 61,5 ml. El femur no muestra lesiones sonograficamente detectables. Se hace muestra comparativa con la misma región y a la misma altura del muslo derecho y se concluye con el diagnostico de hematoma evolutivo relacionado con la ingesta de anticoagulantes.
Female patient 69 years old with a hyperpigmented area (hematoma) in the anterior region of the left thigh. The patient has been taking clopidogrel (an anticoagulant). The sonographic examination with a 10.0 MHz linear transducer shows that in subcutaneous tissue mass with two distinct areas are the anterior, homogeneous appearance and posterior cavities with liquid. They are compatible with evolving hematoma pictures representing the front clotted blood and the posterior blood still remains liquid. The whole lesion measured approximately 5.5 X 5.6 X 3.7 cm with a volume of approximately 61.5 ml. Sonographically femur shows no detectable lesions. A comparative sample is made with the same region at the same height as the right thigh and concludes with the diagnosis of hematoma evolutionary related to the intake of anticoagulants.
Evolutionary Hematoma
Female patient 69 years old with a hyperpigmented area (hematoma) in the anterior region of the left thigh. The patient has been taking clopidogrel (an anticoagulant). The sonographic examination with a 10.0 MHz linear transducer shows that in subcutaneous tissue mass with two distinct areas are the anterior, homogeneous appearance and posterior cavities with liquid. They are compatible with evolving hematoma pictures representing the front clotted blood and the posterior blood still remains liquid. The whole lesion measured approximately 5.5 X 5.6 X 3.7 cm with a volume of approximately 61.5 ml. Sonographically femur shows no detectable lesions. A comparative sample is made with the same region at the same height as the right thigh and concludes with the diagnosis of hematoma evolutionary related to the intake of anticoagulants.
