2023 Volume 43 Issue 5 Pages 255-261
Chronic expanding hematoma (CEH) is a rare complication that persists and enlarges for more than 1 month after surgery or trauma. It can occur anywhere in the body and is occasionally misdiagnosed as neoplasm. It may result from the irritant effects of blood and its breakdown products, leading to repeated bleeding from fragile capillaries. As treatment for CEH has yet to be established, surgical excision or aspiration has commonly been performed, with a high recurrence rate. In recent years, triamcinolone acetonide injection has been reported as a better alternative treatment. We report a case of CEH following cesarean section that was successfully treated with the local injection of triamcinolone acetonide. For CEH after cesarean section, treatment with triamcinolone acetonide injections is considered to be superior regarding several points, so we report it with a review of the literature.
