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Swellon Lump in leg
Hello Doctors, My daughter took a 3 month injection in govt hospital on 7 months before, while taking injection lump was created still not cured. Please advise what to do for this problem. I have attached a screenshot. Please help!
Answers (8)
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It seems like a chronic encapsulated hematoma
Get a pediatric surgeon’s opinion
Should do a routine CBC and coagulation profile
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Ultrasound Report Interpretation
Thick-walled: Suggests a chronic process (e.g., organized hematoma, chronic abscess, granuloma).
Heteroechoic collection: Means the content of the collection has mixed echogenicity (likely old blood, debris, or fibrous tissue), not just clear fluid.
Subcutaneous plane: The collection is superficial, under the skin, and not involving deeper muscles or bones.
What This Suggests
Given the history of an injection 6 months ago, this is likely a chronic organized hematoma or a post-injection granuloma.
If the child has no redness, fever, or tenderness, it might just need monitoring.
If the child has redness, warmth, or pain, or if the collection is enlarging, it may need aspiration or surgical drainage.
Next Steps
Clinical Check:
Is the area red, warm, or painful?
Is the child walking/crawling normally?
Any systemic symptoms (fever, weight loss)?
Consider an FNAC or aspiration:
If there is doubt, a needle aspiration can confirm the nature of the collection (blood, pus, granuloma).
Treatment Decision:
If asymptomatic, watchful waiting may be enough.
If infected or symptomatic, surgical drainage or antibiotics may be needed.
Health Tips
visiting a pediatrician on site will help.
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Dr. Anjali Maini
Pediatrician
33 yrs exp
Gurgaon
This needs investigation. Bleeding/ coagulation profile and then decide further course of action
Next Steps
Need to check with a paediatrician at clinic, a good history required for bleeding problem and lab work up
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Dr. Abhishek Khandelwal
Pediatrician
4 yrs exp
Raipur
Get CBC, CRP,ESR done
Next Steps
if it's asymptomatic and report is normal than can wait
Health Tips
if symptoms are there,cosult pediatric surgeon
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Give vit k
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Dr. Jyothi
Pediatrician
4 yrs exp
Hyderabad
It is a hematoma which is collection of blood (under the skin here) likely developed after vaccination 7months ago.
Child needs a few blood tests like CBP,PS, Coagulation profile.
If the size is not progressive, no signs of inflammation then we can wait and watch after surgeon consultation
Next Steps
Consult pediatric surgeon
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Dr. Ajit Bhandarge
Pediatrician
8 yrs exp
Jalna
It looks like a hematoma blood collection.
Next Steps
Needs surgical interventions. with Cbc,PTINR,aptt
Health Tips
Visit a surgeon or pediatric surgeon.
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings look like blood clot kindly consult Pediatric surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.