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Traumatic Dissection of Subcutaneous Fatty Tissue:
Ultrasonographic Findings and Treatment |
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Jin-Sun Yeon, MD, Soon-Tae Kwon, MD, Woon-Ju Park, MD |
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Department of Radiology, College of Medicine, Chungnam National University |
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Purpose: To evaluate the imaging findings of a traumatic dissection of subcutaneous
fatty tissue and the treatment.
Materials and Methods: Fifteen lesions from 13 patients treated by sonography
were investigated in our study. The lesions were treated by aspiration only, aspiration
followed by steroid injection, and by surgical procedure. Based on the treatment, five
factors such as location, size and extent of the lesions, nature of the contents, and
treatment effectiveness were assessed.
Results: A total of 6 lesions in the thigh, 4 in the leg, 3 in the knee, and 1 each in
proximal forearm and flank. All lesions were found in subcutaneous fatty tissue with an
average size of 8.9 cm. The nature of the contents was serous (n = 2), hemorrhaging
(n = 9), and an abscess (n = 1). Without treatment, three lesions disappeared. Five of
the 7 lesions vanished after being treated by aspiration. Only one out of three lesions
disappeared when they were treated by steroid injection after aspiration. The three
hemorrhaging lesions disappeared after operation, but one serous lesion remained
Conclusion: Dissection of subcutaneous fatty tissue represents a cystic mass with
serous fluid or hemorrhage. The effectiveness of lesion treatment may relate to the
location, size, and content of the lesion. |
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Keyword : Dissection of subcutaneous fatty tissue; Ultrasound (US); Trauma |
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pdf파일 : 013-18연진선.pdf
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