Pacemaker haematoma

Case contributed by Dr James Condon

Presentation

The patient had a pacemaker inserted 2 weeks prior. This was a difficult insertion, requiring internal suturing. After an uneventful recovery, the patient was using his arms and developed a sudden, increasingly painful swelling at the pacemaker sight which spread towards the left axilla.

Patient Data

Age: 75 years
Gender: Male
Modality: X-ray

Increased opacity of the soft tissues around the pacemaker with soft tissue swelling over the left axilla.

There is the impression of volume loss at both apices with scarring and pleural thickening associated with a small cavity at the left apex. These are most likely post-inflammatory changes.

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Case Information

rID: 49685
Case created: 30th Nov 2016
Last edited: 6th Mar 2017
Inclusion in quiz mode: Included

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