Pacemaker hematoma

Case contributed by James Condon
Diagnosis certain

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
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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.