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Discussion on Hematoma/Seroma from chest kick

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Heidi Wealleans
Member
Username: Pones

Post Number: 137
Registered: 12-2002
Posted on Sunday, Apr 25, 2004 - 2:30 am:   Edit PostPrint Post

A week ago my 2yo filly got kicked on the chest by a new horse (also 2yo filly, no shoes) introduced into our paddock (12hours later they were friends!). Despite my treating it with cold therapy, she still had a fluid filled sac the following day - this had 'slid' from the kick site in her central chest area to between her front legs (I have a photo of this, but unfortunately wont be able to upload it until Tuesday).

This sac reduced in size over the next couple of days, and she was looking OK on Thursday, so I was optimistic that the injury would resolve itself.

Yesterday (a week after the injury) I went to check on her (she'd been checked by another owner who shares the field on Friday, so I'd missed one day) and she had a lump the size of 1/2 a golf ball at the original site. This lump is hard, not painful and not hot...

Any ideas of what to do next? I have never had one go like this before, and it is about 10 years since I've had a chest kick/haematoma incident - that was huge and was drained.

Thanks very much

(_)(_)

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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 10327
Registered: 1-1997
Posted on Sunday, Apr 25, 2004 - 9:48 am:   Edit PostPrint Post

Considering the time frame Heidi I think the hard lump you are seeing is a cellular (WBC's and macrophages) infiltrate that is trying to resolve clotted blood or even necrosed tissue. This needs to be differentiated from infection which will be very painful.
DrO
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Heidi Wealleans
Member
Username: Pones

Post Number: 138
Registered: 12-2002
Posted on Thursday, Apr 29, 2004 - 11:24 am:   Edit PostPrint Post

Hi

No she isn't at all sensitive on it, and there is no heat - it's actually gone down this week and is about half the size it was on Sunday.

I haven't got the photos uploaded yet, as my Springer Spaniel had puppies yesterday morning, so things are a bit delayed!!

Once I get round to it, I'll have piccies of initial lump, and the one I posted about on Sunday.

Thanks

(_)(_)
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Heidi Wealleans
Member
Username: Pones

Post Number: 139
Registered: 12-2002
Posted on Saturday, May 8, 2004 - 1:03 pm:   Edit PostPrint Post

Have got the photos now, here goes:

soft swelling

You can just about make out the hairless bit above where the actual kick site was (it was a perfect (_) hoof mark)...which is where this lump came up a few days later:

hard swelling

and, sorry for the quality of the photo, but it looked really big from the side:
side swelling

It's resorbed now, and the hair has grown back, but if you run your hand over where it was you can still feel the remnants of the hard lump.

(_)(_)
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Susan Jeys
Member
Username: Sjeys

Post Number: 82
Registered: 1-2005
Posted on Sunday, Aug 27, 2006 - 3:29 pm:   Edit PostPrint Post

I had this exact thing happen to my filly and instead of reposting, thought I'd ask the question if the vet needs to see it...hers is on her chest, about the size of half a baseball, hard, non hot and non painful. I don't know if she got kicked, but she had a hematoma a couple of weeks ago that slid down her chest and hung between her front legs for a day or so. It went away with cold hosing. I've been traveling and so am not sure how long its been there. She also heavily scratches her chest against our vinyl fencing (I assumed because she is allergic to those midges and her midline is a mess) and every time she is without swat they eat her alive. Hmmm...now I'm wondering if the scratching is from the hematoma or the hematoma causes the scratching or the midline dermatitis causes the scratching and the hematoma/seroma is from her getting kicked or something else...

I've seen the hematoma for 48 hours, is it just best to have vet look at it at this point? Any meds?

I did a search on cellular infiltrate...wasn't sure if its just a bunch of white cells coming to the rescue or something that needs to be looked at...Thanks!
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Ann
Member
Username: Dres

Post Number: 906
Registered: 10-2000
Posted on Sunday, Aug 27, 2006 - 3:59 pm:   Edit PostPrint Post

Have you thought of pigeon fever.. ??

On the first day God created horses, on the second day he painted them with spots..
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Susan Jeys
Member
Username: Sjeys

Post Number: 83
Registered: 1-2005
Posted on Sunday, Aug 27, 2006 - 4:22 pm:   Edit PostPrint Post

Based on the pigeon fever article, I should definitely call my vet only because I don't have any real experience with anything like that and confirming if its PF vs. something else...Thanks for the idea of what it could be...much appreciated. I always feel like I am constantly calling the vet, but its been a few weeks, so its probably about time again :-)
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