Subpectoral Haematoma

Clinical History

A 78-year old lady presented with swelling and bruising on her left arm secondary to a recent fall. Patient is on Apixaban for an underlying heart condition, however, the recent blood results revealed a sudden drop in haemoglobin, which led the clinicians to withhold the apixaban medication. Also a cardiac pacemaker was recently inserted.

Case Description

Ultrasound revealed an 8 cm heterogeneous hypoechoic non-vascular area in the intramuscular layer of the anterior chest region, posterior to the pectoralis muscle. Appearances suggested an intramuscular (subpectoral haematoma) haematoma.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient had CT which confirmed the findings.

Sonograms