What Causes A Painful Bruise On The Abdomen After Injury?

Posted on Mon, 5 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 5 Dec 2016 Answered on

Tue, 27 Dec 2016 Last reviewed on

Question : 3 weeks ago I bumped into a very sharp corner of a table hitting my lower right side abdomen. There was a large bruise with pain and discomfort for a week. The second week the pain got worse and I had to hold and press the injured area to go from sitting to standing. The third week I still had to go through the same procedure for sitting to standing but the pain became almost an all day occurrence. Laying on my right side is very painful.

Thank you for istening,
XXXXXXX XXXX (age 65)

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Hematoma and/or hernia

Detailed Answer:
Hi.
Thanks for your query.
Noted your history and understood the concerns.
The problems faced by you after bumping into a sharp corner of table with progressive symptoms indicate the following:
Hematoma that has progressed into further complications.
Development of hernia due to weakened muscles

The condition can be diagnosed by the following:
Clinical evaluation and an actual examination by a General Surgeon - to see for impulse on coughing.
Contrast enhanced CT scan of the abdomen and its wall supplemented with high resolution ultrasonography with color doppler.
Tests of blood, urine and stool.This will help you to get the most proper diagnosis and will give a plan of further management.

I hope this answer helps you to get a proper diagnosis at the earliest and management according to the findings.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar