Haematoma Subpectoral Haematoma Estimated reading: 1 minute 252 views Contributors 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 B-mode sonogram, acquired using a 9 MHz linear transducer, showing the subpectoral haematoma B-mode sonogram showing the subpectoral haematoma B-mode sonogram, acquired using a 12 MHz linear transducer, showing the subpectoral haematoma Axial CT of the chest showing the subpectoral haematoma Subpectoral Haematoma - PreviousHaematomaNext - Subpectoral HaematomaSoft Tissue Mass Published on: October 4, 2024
