Wound care: treatment of a case of lower extremity hematoma

When a hematoma occurs in the lower extremity, correct treatment is very important, otherwise, it may lead to hematoma enlargement, increased pain, and even other complications.

The following is an article about a case of lower extremity hematoma management.

Case introduction :

A male patient in his fifties, engaged in outdoor activities, accidentally fell during a hiking trip and suffered an external impact on his right lower extremity. At that time, the patient felt a little pain in the right lower extremity, but there was no obvious bleeding. After returning home, the patient began to feel obvious swelling of the right lower extremity and increased pain, especially when walking.

What can cause a hematoma to occur?

Hematoma refers to the swelling caused by the rupture of subcutaneous blood vessels and the accumulation of blood under the skin due to external force. The causes of hematoma mainly include the following aspects:

External impact :

When the limbs are impacted by external force, the skin, and subcutaneous soft tissue will be impacted, causing subcutaneous blood vessels to rupture, and blood will accumulate under the skin to form a hematoma.

Damage to the vessel wall :

When the vessel wall is damaged by an external force, the risk of vessel rupture increases, which can lead to hematoma.

infection :

If infection occurs around the hematoma, it may also cause the hematoma to grow larger, increase pain, and even cause other complications.

Chronic disease :

Some chronic diseases such as high blood pressure, diabetes, etc. will increase the risk of hematoma because these diseases will reduce the elasticity of blood vessels and increase the risk of blood vessel rupture.

In short, the occurrence of hematoma is due to the rupture of subcutaneous blood vessels caused by external force or damage to the blood vessel wall, and blood accumulates under the skin. When suffering from external force or subcutaneous hemorrhage, we should brake urgently, apply cold compresses, compress, and seek medical treatment in time to promote the absorption of hematoma and reduce the occurrence of complications.