Eur J Plast Surg (2016) 39:317–318 DOI 10.1007/s00238-015-1138-6 LETTER TO THE EDITOR Encysted haematoma formation following a latissimus dorsi flap-based breast reconstruction 1 1 2 1 Fayyaz A. K. Mazari & Akin Rae & Ashleigh Genever & Iman A. Azmy Received: 3 June 2015 /Accepted: 21 July 2015 /Published online: 13 August 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, patient felt comfortable in the immediate postoperative period Haematoma formation is common after elective and emergency and made an uneventful recovery. Histology confirmed excision surgery. Around 3 % of breast surgery patients return to theatre in of two encysted nodular lesions measuring 37×32×12 mm and the early postoperative period for the evacuation of haematoma 15×15×4 mm with similar microscopic features of the central area of degenerating blood and fibrin arranged in concentric lines . Occasionally, the haematoma can be surrounded by a pseudo-capsule; thus producing a well localized, palpable lump (lines of Zahn), surrounded by a pseudo-capsule of fibrous tissue that appears encapsulated, cystic or mixed echo on ultrasound. with no definitive epithelial or endothelial lining. The appear- This is known as an encysted haematoma. The formation of an ances confirmed the diagnosis of encysted haematomas. encysted haematoma following breast cancer
European Journal of Plastic Surgery – Springer Journals
Published: Aug 13, 2015
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