What happens if seroma is left untreated?

Answered by Frank Schwing

If a seroma is left untreated for a prolonged period of time, it can lead to the formation of a fibrous capsule around the mass. This fibrous capsule is essentially a thin cover of tissue that develops as a response to the presence of the seroma.

The fibrous capsule can make it more difficult to completely drain the seroma. This is because the capsule acts as a barrier, preventing the easy flow of fluid out of the seroma. As a result, the seroma may continue to accumulate fluid at a rapid rate, leading to further complications.

One of the main issues with an untreated seroma is the potential for infection. The accumulated fluid provides a favorable environment for bacteria to grow and multiply. Without proper drainage and treatment, the risk of infection increases significantly. Infection can cause symptoms such as redness, warmth, pain, and possibly fever. In severe cases, the infection can spread and lead to more serious complications, such as abscess formation or cellulitis.

Another consequence of an untreated seroma is the potential for chronic pain and discomfort. The mass itself can put pressure on surrounding tissues and organs, causing pain and discomfort. Additionally, the ongoing accumulation of fluid can result in stretching of the surrounding tissues, leading to further discomfort.

Furthermore, an untreated seroma can impede the healing process. Seromas often occur as a result of surgery or trauma, and they can interfere with the normal healing of tissues. The presence of a seroma can delay the closure of surgical incisions or hinder the recovery of injured tissues. This can prolong the overall healing time and increase the risk of complications.

In some cases, an untreated seroma can become chronic, meaning it persists for an extended period of time. Chronic seromas can be more challenging to treat and often require more invasive interventions, such as repeated aspirations, surgical drainage, or even excision of the seroma and surrounding tissue.

To summarize, if a seroma is left untreated, it can lead to the formation of a fibrous capsule around the mass, making it more difficult to drain the fluid completely. This can result in rapid accumulation of fluid, increasing the risk of infection, chronic pain, delayed healing, and potential for more invasive treatments. Therefore, it is important to seek appropriate medical attention for a seroma to prevent these complications and facilitate proper healing.