Haematoma Intramuscular Haematoma in the Upper Arm Estimated reading: 1 minute 333 views Contributors Clinical History A 42-year old lady with a recent history of a peripherally inserted central catheter (PICC line) insertion in her left upper arm developed an acute onset of pain and swelling around the PICC line insertion. Ultrasound of the arm was requested to rule out venous thrombosis or soft tissue haematoma or collection. Case Description Ultrasound revealed a 7 cm hypoechoic, heterogeneous, and non-vascular structure within the intramuscular layer of the brachium deep to the site of the line insertion. Appearances were suggestive of an intramuscular haematoma. In addition to the recent PICC line insertion, the patient had other preexisting conditions that supports the ultrasound findings Diagnosis/ Discussion/ Treatment/ Follow up The patient was continually managed for her comorbidities while the arm haematoma was managed conservatively. However, prior anticoagulation therapy (for other comorbidities) was discontinued. Sonograms CDI showing flow in the left subclavian vein B-mode showing the PICC line in the subclavian vein (arrow) Left arm intramuscular haematoma on B-mode Panoramic view of the intramuscular haematoma Haematoma measuring 7 cm x 2 cm Axial image of the intramuscular haematoma PDI showing no evidence of vascularity within the haematoma Intramuscular Haematoma in the Upper Arm - PreviousCalf HaematomaNext - Intramuscular Haematoma in the Upper ArmIntramuscular Haematoma of the Thigh Following Anticoagulation Published on: November 6, 2024
