PDF(Pubmed)
Abstract：
Spontaneous hematoma of the iliopsoas is a rare pathological circumstance; in the majority of cases published in the literature, it is associated with disorders of hemostasis due to anticoagulant treatment or coagulopathies. We present a case of a 64-year-old man on acenocoumarol, an anticoagulant of the vitamin K antagonist family, for atrial fibrillation, who presented with a severe left hip and flank pain with a huge ecchymosis on the left flank and a partial inability to extend the left thigh. A CT scan confirmed the diagnosis of iliopsoas hematoma. Given the hemodynamic stability of the patient, he benefited from a conservative treatment with a favourable evolution. This case highlights the underlying conditions, diagnosis, and treatment of this uncommon complication.
摘要：
自发性髂腰肌血肿是一种罕见的病理情况；在文献中发表的大多数病例中，它与抗凝治疗或凝血障碍引起的止血障碍有关。我们介绍了一个64岁的男性服用acenocoumarol的病例，维生素K拮抗剂家族的抗凝剂,心房颤动,患者出现严重的左髋部和侧腹疼痛，左侧腹部有巨大的瘀斑，左大腿部分无法伸展。CT扫描证实了髂腰肌血肿的诊断。鉴于患者的血流动力学稳定性,他从保守治疗中受益，并取得了有利的进展。这个案例突出了潜在的条件，诊断,以及这种罕见并发症的治疗。
