Subcutaneous haematoma - distal leg

Case contributed by Dr Maulik S Patel

Presentation

Trauma to distal leg - ankle. C/o nodular swelling above lateral malleolus. Referred for ultrasound.

Patient Data

Age: about 50 yrs
Gender: Male
Ultrasound

Well-defined ovoid lesion is seen in region of interest :

  • Size : 31 x 20 x 13 mm
  • Location : Subcutenous plane. Seperate from bone and muscle. Between tibia and fibula. 
  • Morphology : hypoechoic, NO calcification . Small lobulations present. Partly compressible.
  • Dopplar : No Flow 

Case Discussion

In view of history of trauma, absence of flow and mild compressiblity of lesion; Possibility of haematoma was likely.

Needle aspiration - failed. Incision and drainage - revealed blood clots.

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Case information

rID: 24248
Case created: 3rd Aug 2013
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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