I Have An Unexplained Bruise Only Lower Abdomen With Some

Posted on Fri, 5 Jul 2019

Question: I have an unexplained bruise only lower abdomen with some minor menstrual like pain and cramping. Bruise was noticed yesterday. Photo of the bruise attached.

Answered by Dr. Hari Charan Perigela (2 hours later)

Brief Answer:
Coagulation tests should be done

Detailed Answer:
Hi,
Thanks for your query,
I reviewed the picture.

Tear in the blood vessel of that area might have caused this. If there is no history of trauma, it could be a Spontaneous rupture of the blood vessel.

Coagulation tests like Prothrombin time, Clotting time, bleeding time along with complete hemogram should be done.

Ultrasound abdomen has to be done to know the level of collection, whether it is just below the skin or between the muscle. If the bruise is expanding, surgery should be done under Anaesthesia and tie the bleeding vessel.

Not to worry.
Please consult a doctor at the earliest and proceed further.

Hope I answered your query If you have any questions, I will clarify further.

Wish you good health and speedy recovery
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Hari Charan Perigela (7 hours later)

Thank you for your response. There is no history of trauma to that area. I have the factor 5 mutation. I also have endometriosis, poly cystic ovaries and adnomosis, could this have something to do with it? Thanks again.

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
It could be related to the mutation

Detailed Answer:
Hi
Factor 5 mutation leads to ABNORMAL BLOOD CLOTS in the body.It can occur anywhere in the body.
They are not related to other Gynaecological problems mentioned by you.
Hope I answered your question.
Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng