Chronic expanding hematoma with feeding artery in the gluteus maximus muscle

Chronic expanding hematoma with feeding artery in the gluteus maximus muscle A case of chronic expanding hematoma which had a clear feeding artery from the inferior gluteal artery was presented. Chronic expanding hematoma with feeding artery demonstrated by preoperative MRI imaging is very rare. Hypervascular mass and feeding arteries in image findings raised the suspicion of a malignant soft tissue tumor or a vascular malformation with repeated bleeding as differential diagnosis. A massive bleeding over 500 mL was observed during the partial resection for biopsy, indicating that the mass and its outer envelope had an abundant blood flow. Before operation, embolization of the feeding artery was performed. The patient underwent a complete surgical resection, and the mass was resected with minimal bleeding less than 20 mL. Preoperative embolization was very effective for controlling bleeding in this case. Level of Evidence: Level V, therapeutic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Chronic expanding hematoma with feeding artery in the gluteus maximus muscle

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-015-1127-9
Publisher site
See Article on Publisher Site

Abstract

A case of chronic expanding hematoma which had a clear feeding artery from the inferior gluteal artery was presented. Chronic expanding hematoma with feeding artery demonstrated by preoperative MRI imaging is very rare. Hypervascular mass and feeding arteries in image findings raised the suspicion of a malignant soft tissue tumor or a vascular malformation with repeated bleeding as differential diagnosis. A massive bleeding over 500 mL was observed during the partial resection for biopsy, indicating that the mass and its outer envelope had an abundant blood flow. Before operation, embolization of the feeding artery was performed. The patient underwent a complete surgical resection, and the mass was resected with minimal bleeding less than 20 mL. Preoperative embolization was very effective for controlling bleeding in this case. Level of Evidence: Level V, therapeutic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Feb 1, 2016

References

  • The radiological findings in chronic expanding hematoma
    Aoki, T; Nakata, H; Watanabe, H; Maeda, H; Toyonaga, T; Hashimoto, H; Nakamura, T

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