I still have one drain (collecting less than 20ml per day for the past 3 days), but despite this and 24/7 compression, fluid is building up in my upper belly 18 days after my abdominoplasty. I am 100% sure this is a fluid pocket, not swelling. Since my surgeon is out of state, I email him photos/video. The PA acknowledges my issue and isn't concerned yet, but... I am! Is it reasonable to see a local interventional radiologist for evaluation now, or should I wait? I dont want a pseudobursa.
When Should I Start Worrying About a Seroma That Has Formed Post-abdominoplasty? (photo)
Doctor Answers 3
Seromas should be adequately drained after in abdominoplasty.
You should be concerned about your seroma until it quits accumulating. If left unchecked it can create a chronic problem that will require revisional surgery.
When Should I Start Worrying About a Seroma
This is a tough call absent a physical exam.
Usually one drain will drain the entire abdominal cavity. I can't make much out of the posted photo, which I assume is not current since there see to be two drains. I don't see anything obvious on the photos suggestive of fluid collection.
I wouldn't hesitate in recommending the IR consultation. All the best.
Possible evaluation of an abdominal bursa or fluid accumulation.
You may want to see a local Plastic Surgeon and have a proper examination at this time. It ,ay be too early to evaluate, but if you truly believe that there is an expanding fluid collection and a local evaluation may confirm that, then a CT scan or MRI could be ordered that would confirm it. If there was a collection, a needle aspiration by the Radiation Interventionalist may be indicated.
Good luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
You might also like...
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.