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Large seromas take longer to resolve than small ones, and they are more likely to undergo secondary infection. A seroma may persist for several months, [6] or even years as the surrounding tissue hardens. Seroma is the most common surgical complication after breast surgery.
Breast hematomas can sometimes lead to skin discoloration, inflammation, or fever. When a hematoma resolves, it may become fibrotic, leaving behind scar tissue. A resolving hematoma may liquify to form a seroma. Post-surgical breast hematomas can also impede wound healing and therefore impact the cosmetic outcome.
Other fluid collections to be considered in the differential diagnosis are urinoma, seroma, hematoma, as well as collections of pus. Also, when lower limb edema is present, venous thrombosis needs to be considered.
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As in other types of surgery, hematoma (post-operative bleeding), seroma (fluid accumulation), or incision-site breakdown (wound infection) may occur. Breast hematoma due to an operation will normally resolve with time [2] but should be followed up with more detailed evaluation if it does not.
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Surgical complications include deep vein thrombosis, hematoma, wound infection, or seroma. [23] After the surgery, patient is usually monitored using arterial duplex ultrasonography 1, 3, 6, and 12 months, and annually after that.