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What Causes Bluish Discolouration On Abdomen Above The C-section Scar?

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Posted on Mon, 11 Jan 2016
Question: Am seeing some bluish color on my abdomen . Just above my c section incision . It feels like a hard board and pricking pains comes on and off .. what is causing that ? Is almost 17 days after my operation .
doctor
Answered by Dr. Sameer Kumar (21 minutes later)
Brief Answer:
these are hematoma formation.

Detailed Answer:
Hello,
Thanks for the query to HCM ,
The fact that you are 17 days post operative at present and the bluish color above your lower segment c-section incision line is likely hematoma formation at small bleeders or arterioles at the site of incision which give appearance of blue colour. However there is no pain or localised swelling or any discharge from the incision wound then there is no real cause to be worried and rather you should continue the vitamin c and enzymes tabs for early healing, which you may have been prescribed by your obstetrician.
This blue line generally automatically resolves itself within next 2-3 weeks.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (21 minutes later)
thanks for the quick reply . i am attaching a pic for you to see . It was my 3rd c section and So the had to stop me from giving birth .Is that not a sign of a more serious complication ? the bluish round mark you are seeing is what is painful but not the scare itself . And sorry , am 10 days after operation not 17 .
doctor
Answered by Dr. Sameer Kumar (22 minutes later)
Brief Answer:
answered

Detailed Answer:
Hello,
This is subcutaneous hematoma formation and it is indeed a larger area. It is important to rule out any subcutaneous bleeding under the skin at the incision level and there may be a collection of blood in the gutter of the wound. This needs a thorough examination by your obstetrician . One ruled out and there is no active bleeding seen then this can be managed conservatively with vitamin c and enzyme tabs.
You should bring it to the notice of your operating obstetrician and seek a follow up soon, if the size of this bluish discolouration has increased further in last 48 hrs.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (38 minutes later)
Okay thanks so much . What happens if there is bleeding under the skin ? The hermatoma has increased since last week. At first i thought it was just a pain caused by the wound. But now i know is not normal . I was given only amoxyllin,paracetamol and flagyl... Hope there is a way it can be solved . Bit scared and worried .
doctor
Answered by Dr. Sameer Kumar (5 minutes later)
Brief Answer:
answered

Detailed Answer:
If the area of discolouration in increasing as you said, then the would would have to be reopened and the bleeder identified and then bleeding stopped by cauterisation or a suture.
Please get back to your operating surgeon soon.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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What Causes Bluish Discolouration On Abdomen Above The C-section Scar?

Brief Answer: these are hematoma formation. Detailed Answer: Hello, Thanks for the query to HCM , The fact that you are 17 days post operative at present and the bluish color above your lower segment c-section incision line is likely hematoma formation at small bleeders or arterioles at the site of incision which give appearance of blue colour. However there is no pain or localised swelling or any discharge from the incision wound then there is no real cause to be worried and rather you should continue the vitamin c and enzymes tabs for early healing, which you may have been prescribed by your obstetrician. This blue line generally automatically resolves itself within next 2-3 weeks. Regards