I had laparoscopic myomectomy, I have now been diagnosed with a large 10cm pelvic hematoma?

I had laparoscopic myomectomy five months ago for a large subserosal fibroid- surgery went well with no complications. Three days ago I had abdominal pain and after going to the ER, I’ve been diagnosed with a large 10cm pelvic hematoma. After being monitored for 24 hours with regular bloods, temperature, blood pressure and ultrasound I was considered stable and able to leave hospital. I return tomorrow for further ultrasound and bloods to see if it’s still the same. I am not in my home country and do not have access to my surgeons. What is the best course of action for a stable but large hematoma? I’m now just in mild pain, resting with a heatpack and panadol, and no fever or nausea.

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Dr.Honey Arora
9:47 am

Thanks for the query..

In case of a stable large hematoma that does not regress in size then it has to be surgically removed..
If the symptoms are tolerable and not causing any complications then you can take a consent from the ER doctor and reach your surgeon soon for further management..


Ahmed Fawzy
12:08 pm

No fever or nausea means there is no open blood vessel, which means it should resolve by time, try not to do any action involving valsalva maneuver , if you get any fever or nausea then will will need a surgery to close the blood vessel leaking and aspire the haematoma
Good Luck

Ayman Darrag
11:35 am

In my opinion you should keep doing what you are doing now, hot packs ,mild massage ,as long as no other symptoms like fever, numbness, nausea… otherwise a surgical removal only..