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Q. I am concerned about my bruise due to cerebral angiogram. How to manage it?

Answered by
Dr. Kumar Sonal
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 02, 2020

Hello doctor,

I had a cerebral angiogram performed 10 days ago. They entered through my right femoral and the test was normal. I developed the expected bruising. However, I have now developed red/purple linear streaks resembling a vascular pattern through the bruise. My thigh is mildly painful, which is new. No fever and I feel fine. I went to the ER only with abnormality and elevated D-dimers (0.64). They performed a Doppler study and found no clots. They said to come back if it worsens. They had never seen a bruise like this one. Any ideas?

I am currently on Spironolactone 100 mg daily, propranolol 60 mg daily, O cella, Sumatriptan 100 mg, and Omeprazole 40 mg daily.

Dr. Kumar Sonal

General Surgery
#

Hello,

Welcome to icliniq.com.

Sorry to hear about your complaints. Bruise following angiography is quite common and usually subsides over time. D-dimer was elevated in your case, so your consultant has gone for a Doppler scan to rule out thrombus formation, which in your case has come out to be normal. You probably do not have much to worry about, give it some time and it should subside. If it persists or in case you develop breathing difficulty, get yourself checked in the E.R. Also, I am presuming that you do not have a history of allergy to any medications.


The Probable causes:

Thrombophlebitis, allergic reaction.

Investigations to be done:

Platelet counts.

Differential diagnosis:

Thrombophlebitis, allergic reaction.

Probable diagnosis:

Thrombophlebitis. Allergic reaction.

Treatment plan:

Thrombophob gel local application. Wait and watch. Warm compress.

Regarding follow up:

If it persists or if you develop breathing difficulty an urgent ER consultation would be needed.


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