inguinal hematoma post neuter?

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inguinal hematoma post neuter?

-Duke, 1 year 2 mo old, was neutered 4/1, developed firm inguinal swelling over next 2 days. 

-Firmess improved w/ hyperbaric O2, but then continued and is bigger in size, but less painful to patient.  Some ventral edema settling in limb, w/ distal toes still warm to touch. 

-Today, the swelling has what feels like a thrombosed vein running along the surface from cadual to cranial (visible on last video clip as hypoechoic tube top of screen). 

-The swelling is now more over the proximal medial thigh; was more inguinal on 4/7. 

-Duke, 1 year 2 mo old, was neutered 4/1, developed firm inguinal swelling over next 2 days. 

-Firmess improved w/ hyperbaric O2, but then continued and is bigger in size, but less painful to patient.  Some ventral edema settling in limb, w/ distal toes still warm to touch. 

-Today, the swelling has what feels like a thrombosed vein running along the surface from cadual to cranial (visible on last video clip as hypoechoic tube top of screen). 

-The swelling is now more over the proximal medial thigh; was more inguinal on 4/7. 

-Most recent CBC showed inflammatory leukogram, not febrile. 

-I am not seeing any pockets of  fluid and our working diagnosis is an inguinal hematoma from faulty ligatures (unsure neuter technique), but I am alarmed with how long it is taking this to improve and wondering if we need to be considering having a surgeon explore the area. 

-The first jpeg is today (significant increase in size) vs the next 2 images were from the presentation a week ago.  The two video clips were today showing no doppler flow in the swelling itself.  Tips on what I should be aiming for with imaging appreciated. 

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