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Published on: 4/7/2025

How Is an Abdominal Hematoma Lump Diagnosed and Treated?

An abdominal hematoma lump is diagnosed using a physical exam and imaging tests like an ultrasound or CT scan. Treatment varies based on severity—it may involve rest and pain relief or, in more serious cases, surgery.

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Explanation

An abdominal hematoma is a collection of blood that builds up in the tissues of your belly, often from an injury or trauma. A doctor will first examine your abdomen, asking about pain or recent injuries. To get a clear picture, they usually use imaging tests such as an ultrasound or a CT scan. These tests help determine the size and exact location of the hematoma. For treatment, if the hematoma is small and the symptoms are mild, doctors generally choose conservative management. This means you may need to rest, apply ice to the area, and take pain relievers. This helps the body reabsorb the blood over time, and you are usually monitored with follow-up exams. However, if the hematoma is large, causing severe pain, or showing signs of complications like ongoing bleeding, surgery might be necessary to remove the blood clot and stop the bleeding. The treatment plan is chosen based on the severity of the hematoma, its impact on your health, and how it affects nearby tissues. Always follow your healthcare provider’s advice and attend any scheduled check-ups to ensure proper healing.

(References)

  • Cherry WB, Mueller PS. Rectus sheath hematoma: review of 126 cases at a single institution. Medicine (Baltimore). 2006 Mar;85(2):105-110. doi: 10.1097/01.md.0000216818.13067.5a. PMID: 16609349.

  • Dutta S, Sanjay P, Jones ML. Diagnosis and treatment of giant lateral abdominal wall haematoma after blunt trauma: a case report. Cases J. 2009 Dec 19;2:9358. doi: 10.1186/1757-1626-2-9358. PMID: 20066065; PMCID: PMC2804729.

  • Shikhman A, Tuma F. Abdominal Hematoma. [Updated 2023 Apr 10]. In: StatPearls [Internet].

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