Traumatic subcutaneous haematoma causing skin necrosis

A 79 year old lady trips over and hurts her leg. She develops a large haematoma and is initially managed expectantly. She is on warfarin, however, and eventually requires debridement and a skin graft. The case describes the pitfalls in the management of seemingly benign injuries in patients who are anticoagulated and outlines the management decisions that lead to a favourable outcome.

Seema Biswas
Editor-in-Chief

Traumatic subcutaneous haematoma causing skin necrosis