Emergency Department Presentation of Iliopsoas Hematoma in a Severe Hemophiliac

Burgess, Adam; Douglas, Derek; Grubish, Lindsay

doi:10.1016/j.ajem.2017.12.035

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Rhabdomyolysis complicated by AKI requires careful treatment, including intensive care, due to its severity. Iliopsoas hematoma is closely associated with anticoagulant therapy usage and hematologic diseases, like hemophilia (8,9), and in patients taking warfarin therapy incorrectly, iliopsoas hematoma can increase the volume and spread widely, sometimes bilaterally (10). In the worst cases, patients with iliopsoas hematoma may require blood transfusion which can sometimes lead to mortality (10,11).…”

Section: Discussionmentioning

confidence: 99%

Rhabdomyolysis with Acute Kidney Injury Caused by Bilateral Iliopsoas Hematoma in a Patient with Atrial Fibrillation

et al. 2019

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Rhabdomyolysis is a relatively common and life-threatening disease that is sometimes complicated by acute kidney injury (AKI). Several causes have been reported, divided into traumatic and non-traumatic causes. We herein report a patient with rhabdomyolysis with AKI caused by bilateral iliopsoas hematoma. This patient had atrial fibrillation that was poorly controlled with warfarin, and bilateral iliopsoas hematoma was caused by turnover without a history of high-energy injury. Treatment with the rapid neutralization of warfarin improved his clinical condition without complications. We should pay close attention to episodes of turnover among elderly patients receiving anticoagulant therapy.

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Section: Discussionmentioning

confidence: 99%

Rhabdomyolysis with Acute Kidney Injury Caused by Bilateral Iliopsoas Hematoma in a Patient with Atrial Fibrillation

et al. 2019

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“…[ 32 , 33 ] The symptoms of iliopsoas muscle hematoma include inguinal pain, flexion of the hip, femoral nerve palsy, mass formation in the iliac fossa, bleeding-related anemia, and constipation. [ 34 ] In the present case, the patient’s main symptoms were right lower back pain, right lower quadrant ache, weakness of flexion right hip joints. Tenderness or swelling of the inguinal region was observed without femoral nerve palsy.…”

Section: Discussionmentioning

confidence: 68%

Iliopsoas hematoma secondary to small needle scalpel for the treatment of nonspecific low back pain: A case report

et al. 2022

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Introduction: Nonspecific low back pain (NSLBP) is one of the most common symptoms which can happen all ages and it accounts for the majority of low back pain (LBP). Current clinical studies have shown that rest, physical therapy, acupuncture (including small needle scalpel) and non-steroidal antiinflammatory drugs are effective treatments for NSLBP. However, the safety of small needle scalpel for treatment of NSLBP was reported rarely. Patient concerns: A 63-year-old female patient was referred to the emergency department for right lower back pain, right lower quadrant ache, weakness of flexion right hip joints and worsening pain with walking after the treatment of small needle scalpel, which was performed by a rural doctor; the symptoms had been lasting for 9 hours. Diagnosis: She was diagnosed with traumatic iliopsoas hematoma because she experienced increased back pain after accepting small needle scalpel. Clopidogrel was stopped and the patient did not received a blood transfusion and just monitored Blood routine examination, liver and function, coagulation function after admission. Interventions: She had rest in bed absolutely for 3 days after admission. On the fourth day, she restarted taking Clopidogrel 75 mg every day and has gradually increased time for ambulation. She was discharged home and was ambulating with the help of a walking frame on day 7 and her follow-up abdominal CT scan on day 11 revealed reduced slightly hematoma. She was treated with rest, and showed an gradual recovery in approximately 3 weeks. Outcomes: At day 85, the patient’s LBP symptoms had completely disappeared and the result of liver function, renal function, coagulation function, blood routine was normal. Conclusion: Small needle scalpel is a form of acupuncture. In China, small needle scalpel therapy has been used to treat various kinds of chronic pain. Anticoagulation therapy is a risk for bleeding, and patients who used Clopidogrel prepare to adopting small needle scalpel needs to be very cautious.

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“…The main clinical symptoms that have been recorded for school-age children are the following: pain in the lower abdominal quadrants, in the groin and lumbar area; paresthesia on the medial side of the thigh, or a palpable mass or rope in the inguinal region. As potentially lifethreatening complications one could mention anemia and hypovolemia [8]. In younger children, the symptoms of psoas hematoma can be limited to inconsolable crying crisis and irritability; only in the most advanced stages, the patients can show reduced mobility of the lower limb [2,7].…”

Section: Introductionmentioning

confidence: 99%

Iliopsoas Hematoma as Unusually Early Onset of Hemophilia A in a Young Infant

Coppo¹,

Rossi²,

Raffaldi³

et al. 2022

Int J Blood Res Disord

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A 2-month-old infant was admitted for irritability and hypomobility of the left lower limb. Ultrasound revealed a deep hematoma of the iliopsoas muscle and coagulation tests showed increased activated partial thromboplastin time (aPTT). The finding of marked reduction of blood coagulation factor VIII (FVIII) led to the diagnosis of severe Hemophilia A. The infants were promptly put on i.v. factor VIII concentrates, resulting in rapid clinical improvement. As far as known, this is the first documented case of iliopsoas hematoma in such a young infant as early onset of Hemophilia A. Timely diagnosis of hemophilia is crucial to start prompt appropriate treatment, in order to avoid severe bleeding and long-term complications.

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Emergency Department Presentation of Iliopsoas Hematoma in a Severe Hemophiliac

Cited by 5 publications

References 4 publications

Rhabdomyolysis with Acute Kidney Injury Caused by Bilateral Iliopsoas Hematoma in a Patient with Atrial Fibrillation

Rhabdomyolysis with Acute Kidney Injury Caused by Bilateral Iliopsoas Hematoma in a Patient with Atrial Fibrillation

Iliopsoas hematoma secondary to small needle scalpel for the treatment of nonspecific low back pain: A case report

Iliopsoas Hematoma as Unusually Early Onset of Hemophilia A in a Young Infant

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