Hematoma 1 Day Post-Lumpectomy

Question

Post- Lumpectomy, Grapefruit Sz Hematoma Drained 24hrs Ago and is Back. Help! It Hurts.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  A hematoma can be very mild or very pronounced in its presentation.  A mild one may induce slightly more swelling and increased bruising and will likely resolve on its own. A more severe hematoma can result in dramatic asymmetry in terms of swelling, feelings of light headedness due to loss of blood, severe bruising, and can be rapidly growing.  If you every experience the latter, then I would contact your surgeon immediately and if you have trouble, you may even go to the ER.  Larger hematomas often have to be surgically drained.

Otto Joseph Placik, MD · Answer

It may not necessarily mean that it has recurred and may be more indicative of a seroma. Alternatively, if you have a repeated tendency for hemoma, you may want to consider a hematologic evaulation.

Steven Turkeltaub, MD · Answer

You need to contact your breast surgeon ASAP regarding your recurrent hematoma. They will need to treat this expeditiously and a drain should be placed following the procedure (though it won't necessarily prevent this or a seroma 100% fo the time).

Sugene Kim, MD, FACS · Answer

It seems that you have recurrent hematoma. With a small size hematoma, your body may be able to reabsorb it. However, with a large hematoma that is expanding or giving you discomfort, you need to have it re-evacuated soon. Please see your breast surgeon.

C. Bob Basu, MD, MPH, FACS · Answer

Please see your breast or general surgeon.  A recurrent hematoma that is causing pain warrants medical attention as soon as possible.

Fredrick A. Valauri, MD · Answer

It seems that you may have had another hematoma after your breast surgery. 

	You should contact your surgeon immediately to be re-evaluated and advised accordingly.

Steven Wallach, MD · Answer

A hematoma can occur with any surgery.  If you have had it drianed once, but it has come back, I suggest you contact your surgeon to be evaluated for possible re-drainage.

Darryl J. Blinski, MD · Answer

Sounds like you are being properly treated. What is the issue? PAIN? Call the operating surgeon. From MIAMI DR. Darryl J. Blinski

David Greenspun, MD, MSc · Answer

Hematoma can and do occur after breast surgery; unfortunately, they can reoccur after drainage. The safest thing for you is to see the surgeon who performed your surgery as soon as possible.

Hematoma 1 Day Post-Lumpectomy

Answers (9)