Deep seroma

Case contributed by Gaetano Maria Russo
Diagnosis almost certain

Presentation

Abdominal pain, no fever, sense of loss of appetite, laboratory tests normal.

Patient Data

Age: 60 years
Gender: Male

Deep seroma

ct

In the central-abdominal-median-paramedian location, close to the anterior abdominal wall, there is a mesh, with wavy margins, likely to result in the reconstruction of the abdominal wall, which delimits the anterior liquid collection with a density of approximately 17 HU of a non-blood type, without contextual air bubbles and/or clear fistulous passages.

Findings are in keeping with a deep seroma.



Case Discussion

The patient came to the emergency room for abdominal pain. On ultrasound examination, fluid could be seen in the central abdominal wall. Subsequent abdominal CT showed a deep seroma.
The finding was correlated with the patient's surgical history and the literature 1,2.

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