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The feasibility of ultrasound-guided vacuum-assisted evacuation of large breast hematomas Cover

The feasibility of ultrasound-guided vacuum-assisted evacuation of large breast hematomas

Open Access
|Jun 2020

Figures & Tables

Figure 1

Illustration of a vacuum assisted evacuation of hematoma in patient number 9. Vacuum assisted excision of a discordant lesion (A) at core biopsy resulted in a palpable painful hematoma. Ultrasound image of the 5.5x4.0 cm hematoma (B). Complete evacuation of the hematoma with sparing of hematoma wall (C); Large arrows indicate needle’s shaft and small white arrows indicate hematoma wall
Illustration of a vacuum assisted evacuation of hematoma in patient number 9. Vacuum assisted excision of a discordant lesion (A) at core biopsy resulted in a palpable painful hematoma. Ultrasound image of the 5.5x4.0 cm hematoma (B). Complete evacuation of the hematoma with sparing of hematoma wall (C); Large arrows indicate needle’s shaft and small white arrows indicate hematoma wall

Figure 2

Patient number 10 with massive two-sided communicating hematoma treated through separate punctures. Image (A) represents a panoramic view of the cranial aspect of the 12 cm long hematoma and image (B) represents a panoramic view after the evacuation. Image (C) represents the caudal 20 cm long hematoma and correspondingly image (D) shows the view after treatment.
Patient number 10 with massive two-sided communicating hematoma treated through separate punctures. Image (A) represents a panoramic view of the cranial aspect of the 12 cm long hematoma and image (B) represents a panoramic view after the evacuation. Image (C) represents the caudal 20 cm long hematoma and correspondingly image (D) shows the view after treatment.

Hematoma characteristics pre- and post-vacuum assisted evacuation (VAE)

PatientSize pre-VAE (in cm)Estimated decrease in size post-VAE (percentage) Symptoms
16 x 4> 50%Resolution
28 x 4> 50%Resolution
36 x 3100%Resolution
46 x 5100%Resolution
55.5 x 3100%Resolution
67 x 6.580%Resolution
712 x 2.570%Resolution
85.5 x 3.590%Resolution
95.5 x 4100%Resolution
1020 x 580%Resolution
115.5 x 5100%Resolution

Characteristics of patients with hematoma

PatientAge (yrs)Wait time

Wait time = number of days between surgical intervention/biopsy and VAE of hematoma;

(days)
InterventionMedicationsSize (cm)
14214BLESAnti-Coagulant6 x 4
2671VABBNone8 x 4
33836SurgeryNone6 x 3
44878SurgeryNone6 x 5
54921SurgeryNone5.5 x 3
65134SurgeryAnti-hydrocortisone Platelet and7 x 6.5
78415SurgeryAnti-Platelet12 x 2.5
871597SurgeryNone5.5 x 3.5
98551VABEAnti-Coagulant5.5 x 4
106029SurgeryNone20 x 5
115322SurgeryNone5.5 x 5
DOI: https://doi.org/10.2478/raon-2020-0041 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 311 - 316
Submitted on: May 3, 2020
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Accepted on: May 27, 2020
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Published on: Jun 26, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Sa’ed Almasarweh, Mazen Sudah, Sarianna Joukainen, Hidemi Okuma, Ritva Vanninen, Amro Masarwah, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.