Chronic expanding hematoma of the left flank mimicking a soft-tissue neoplasm

Guglielmo Manenti, MD, PhD; Armando Ugo Cavallo, MD; Salvatore Marsico, MD; Daniele Citraro, MD; Erald Vasili, MD; Adriano Lacchè, MD; Marco Forcina, MD; Amedeo Ferlosio, MD, PhD; Piero Rossi, MD, PhD; Roberto Floris, MD, PhD

doi:10.1016/j.radcr.2017.07.019

Radiology Case Reports (Dec 2017)

Chronic expanding hematoma of the left flank mimicking a soft-tissue neoplasm

Guglielmo Manenti, MD, PhD,
Armando Ugo Cavallo, MD,
Salvatore Marsico, MD,
Daniele Citraro, MD,
Erald Vasili, MD,
Adriano Lacchè, MD,
Marco Forcina, MD,
Amedeo Ferlosio, MD, PhD,
Piero Rossi, MD, PhD,
Roberto Floris, MD, PhD

Affiliations

Guglielmo Manenti, MD, PhD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Armando Ugo Cavallo, MD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Salvatore Marsico, MD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Daniele Citraro, MD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Erald Vasili, MD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Adriano Lacchè, MD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Marco Forcina, MD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy
Amedeo Ferlosio, MD, PhD: Anatomic Pathology Institute, Department of Biomedicine and Prevention, University of Rome “Tor Vergata,” Rome, Italy
Piero Rossi, MD, PhD: Department of Experimental Medicine and Surgery, University of Rome “Tor Vergata,” Rome, Italy
Roberto Floris, MD, PhD: Department of Diagnostic Radiology, Molecular Imaging, Radiation Therapy and Interventional Radiology, University of Rome “Tor Vergata,” Viale Oxford, 81, 00133 Rome, Italy

DOI: https://doi.org/10.1016/j.radcr.2017.07.019
Journal volume & issue: Vol. 12, no. 4
pp. 801 – 806

Abstract

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Soft-tissue hematomas are a common clinical entity often associated with trauma, surgery, and bleeding disorders. In the majority of cases, soft-tissue hematomas acutely appear and spontaneously resolve, but sometimes, they present as swellings that slowly expand and progressively increase with time. We present a case of a 70-year-old man with chronic expanding hematoma of the left flank without any history of recent trauma or other medical disease. The diagnosis could not be confirmed on imaging features alone, so the patient was taken to surgery for open biopsy and excision. In patients with slowly growing extremity masses without recent trauma or chronic medical disorders, the differential diagnosis becomes challenging, and chronic expanding hematoma should be considered in addition to soft-tissue sarcomas and other malignancies.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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