May 2012

Large hematoma after ski trauma?

Clinical Info

Persistent swelling in the gluteal muscle after a ski accident a few months ago. Hematoma?

Ultrasound Images & Clips

Large false aneurysm in the gluteal muscle

Large hematoma in the gluteal muscle with a large central anechoic part that could be mistaken for a liquefied hematoma
Large hematoma in the gluteal muscle with a large central anechoic part that could be mistaken for a liquefied hematoma
Another image of the same structure
Another image of the same structure
There is an abnormal pulsation in the mass
With the color doppler on, the lesion shows flow
With the color doppler on, the lesion shows flow
The anechoic mass shows flow
The lesion shows the typical yin and yang flow pattern characteristic for false aneurysms
The lesion shows the typical yin and yang flow pattern characteristic for false aneurysms
The lesion shows continuity with a small artery
The lesion shows continuity with a small artery
videoclip
An angiogram was performed
An angiogram was performed
The catheter was inserted just before the neck of the aneurysm
The catheter was inserted just before the neck of the aneurysm
Coils were placed to obstruct the feeding vessel
Coils were placed to obstruct the feeding vessel
Detail image of the coils
Detail image of the coils
After the procedure the aneurysm no longer fills with contrast
After the procedure the aneurysm no longer fills with contrast

Conclusion

Part of the mass was a hematoma but the anechoic part was not a hematoma but a large false aneurysm.


Details

  • Sex: Male
  • Age: 19

Created with

  • Hitachi Ultrasound System