What is a seroma?

Question

Hi doctor,

What is a prior hysterectomy? Within the uterine fossa, there is a complex predominantly anechoic area with multiple septations measuring approximately 2.32 x 2.17 inches, which may represent a postoperative seroma. In the left adnexal region, the presumed left ovary has an abnormal appearance without evidence of any follicles. However, normal arterial inflow and venous outflow are identified within the presumed ovary. A somewhat tubular anechoic area with septations in the left adnexa may be an extension of the aforementioned seroma into the left adnexa versus a dilated fallopian tube. Please explain what this means.

Thank you.

Answer 1

Hi,

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Seromas are collections of serous fluid that leak out of the blood and lymphatic vessels, usually after severe blunt trauma and extensive surgeries involving significant tissue disruption. Although a drain is placed to prevent such an occurrence, seromas can occur after the drain has been removed. Pain is minimal in such cases. In your case, seroma is seen in the uterus and fallopian tube. If infection develops, additional symptoms can include leakage of pus, redness, warmth or swelling, tenderness, or fever and chills. This needs to be seen by a doctor at the earliest so that it can be treated earlier and prevent complications like infection. If the seroma is large, your doctor will remove the fluid via ultrasound-guided needle aspiration (a procedure to remove excess water from parts of the body). In case of any infection, treatment with antibiotics might be required. Small seromas often resolve on their own, although left untreated, they can calcify, forming hard knots.

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Thank you.