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. Ayman DarragDr Ahmed FawzyDr.Honey Recent comment authors
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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..


Dr Ahmed Fawzy
Dr Ahmed Fawzy

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

Dr. Ayman Darrag
Dr. Ayman Darrag

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..