From the Research
Management of Large Superficial Abdominal Hematoma
- Conservative treatment is often the preferred approach for managing large superficial abdominal hematomas, as seen in cases where the hematoma is caused by rupture of an epigastric vessel 1 or in patients under anticoagulant/antiplatelet treatment 2.
- Close monitoring of the patient's condition, including hemodynamic parameters and response to conservative treatment, is crucial in managing abdominal wall hematomas 2.
- Imaging studies such as computed tomography (CT) and ultrasound (USG) can be used to diagnose and monitor the size of the hematoma 2, 3, 4.
- In some cases, minimally invasive methods such as transcatheter arterial embolization may be necessary to control bleeding 2, 4, 5.
- Surgery may be required in cases where conservative treatment fails or in patients with hemodynamic instability 2, 3.
- The choice of treatment depends on the underlying cause of the hematoma, the patient's overall condition, and the presence of any complications such as small bowel obstruction or cholestasis 3.
Considerations for Treatment
- Early recognition and hospitalization of patients with abdominal wall hematomas can improve outcomes 2.
- Patients with large abdominal hematomas may be at risk for failure of conservative treatment and may require surgical intervention 3.
- Understanding the vascular system of the abdominal wall is essential for effective endovascular treatment of abdominal wall hematomas 5.
- The use of anticoagulant and antiplatelet drugs can increase the risk of abdominal wall hematomas, and patients on these medications require close monitoring 2.