Gluteal hematoma

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Fall from height about 6 days ago. Not septic.

Patient Data

Age: 65 years
Gender: Female

Ultrasound

ultrasound

Ultrasound reveals a large collection in the subcutaneous tissue of the right gluteal region, encapsulated, with septa ("web appearance"), heterogeneous hypoechoic content, and absence of internal flow on Doppler. These are characteristic features of hematoma on ultrasound. Similar to that found in hemorrhagic ovarian cysts.

Case Discussion

The case was managed conservatively. 

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