CH3 – Hematoma under the skin
Synonyms
No known synonym
Name of the disease in English
Subcutaneous hematoma
The disease in brief
Subcutaneous hematomas are initially swollen, soft, non-painful (or slightly) painful areas, appearing suddenly and which tend to move ventrally. They are located on areas exposed to shocks: the flanks, shoulders, ischial tubes, etc.
It is important to clearly distinguish thehematomas abscesses or early infections, because each lesion has a specific treatment.
Clinic & diagnosis
A hematoma is suspected by observing:
-A swollen area in the shape of a ball, soft to the touch, or a mobile ball that descends under the skin from day to day,
-Or a swollen area with traces of shock; pain and heat on palpation of the area are most often mild.
Typical sign of the disease
No description
Pictures
See below
Diagnostic formulas
No description
Differential diagnosis
-Hot abscess under the skin CH1.3
- “Cooled” abscess under the skin CH1.4
-Hernia of the flank Or Eventration-PG30.2
-Umbilical hernia CH9
Confirm a suspicion?
The lesion observed can be specified with an ultrasound. Confirmation is made by puncturing a carefully selected area. Prepare the area to be punctured as for a surgical procedure. A 16g needle will be able to immediately confirm the presence of blood; aspiration with a syringe may be useful in addition. Remove the needle and squeeze the punctured area.
Prognosis and treatment
It is not advisable to drain a hematoma.
Many bruises will shrink on their own.
Others will develop into abscesses that must be drained.
Prevention
-Monitor livestock buildings to detect and remove the causes of contusion.
References
- Rebhun's disease of dairy cattle; Various DJs, Peek SF 3rd edition by Ed. Saunders Elsevier
