For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
58
views
16
references
 Top references
cited by
10
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      1,079
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Femoral Neuropathy due to Iliacus Muscle Hematoma in a Patient on Warfarin Therapy

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Spontaneous hematomas of the iliacus muscle are rare lesions and these are seen in individuals receiving anticoagulation therapy or patients with blood dyscrasias such as hemophilia. It can cause femoral neuropathy and resultant pain and paralysis. Although there is no clear consensus for the treatment of femoral neuropathy from iliacus muscle hematomas, delays in the surgical evacuation of hematoma for decompression of the femoral nerve can lead to a prolonged or permanent disability. We report here on a rare case of a spontaneous iliacus muscle hematoma that caused femoral neuropathy in a patient who was taking warfarin for occlusive vascular disease and we discuss the treatment.

          Related collections

          Most cited references16

          • Record: found
          • Abstract: found
          • Article: not found

          Iliopsoas haemorrhage in patients with haemophilia: results from one centre.

          K Kavakli, D Karapinar, C Balkan (2005)
          Iliopsoas haematoma is a well-recognized complication of haemophilia, and is considered as potentially life threatening and significantly associated with morbidity. There are only rare reports on the incidence or outcomes of iliopsoas bleeding since the widespread usage of modern therapies for haemophilia. In this study, we present the experience of Ege University Haemophilia Centre with iliopsoas bleeding and its early and late complications. We reviewed 146 haemophiliacs (106 haemophilia A, 40 haemophilia B). Fourteen iliopsoas bleeding episodes were identified in eight haemophiliacs. Three patients (37%) had one episode, four (50%) had two episodes and one (13%) had three episodes. Two patients had a high titre inhibitor against factor VIII and accounted for three bleeding episodes (21%). We did not observe any episodes in six patients receiving prophylaxis. Iliopsoas haematomas were confirmed by ultrasonography in all patients. In physical examination, the most common symptoms were thigh, hip and groin pain, hip flexion contracture, abdominal tenderness and paraesthesia in the distribution of the femoral nerve. The mean duration of therapy with clotting factor concentrate was 7.8 +/- 1.6 days. The mean duration of hospitalization was 4.8 +/- 2.0 days. All patients started to receive a physical therapy program 6.0 +/- 2.4 days after the initiation of haemostatic therapy which lasted 20.0 +/- 6.0 days. Ultrasonographic findings related to iliopsoas haematoma disappeared in all patients within 3 months from the initial episodes. Only in one patient with mild haemophilia A, heterotopic bone formation (myositis ossificans) developed as a long-term complication. In conclusion, pain around the hip joint, femoral neuropathy and hip flexion contracture in a patient with haemophilia should alert the physician to the possibility of an iliopsoas haematoma. Early and effective factor replacement therapy is essential in the prevention of the complications.
          Article 0 comments Cited 21 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Bilateral iliopsoas hematomas complicating anticoagulant therapy.

            Yuko Wada, Yo Nishimura, C Yanagihara (2005)
            An 85-year-old woman receiving anticoagulant therapy for transient ischemic attack suddenly developed bilateral femoral nerve palsy and severe pain in the bilateral groin and thighs. Her platelet count, prothrombin time and activated partial thromboplastin time were within the therapeutic range. Hematomas in the bilateral iliopsoas muscles were clearly detectable on CT scan. The right hematoma was larger than the left one and caused more severe femoral neuropathy, but improved gradually without surgical decompression. This case is reported here because bilateralism is exceptional, and iliopsoas hematoma should be suspected when a patient receiving anticoagulant therapy presents with pain in the groin or thigh.
            Article 0 comments Cited 20 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Spontaneous haematoma of the iliac psoas muscle: a case report and review of the literature.

              F Leheta, V Seifert, G Marquardt … (2002)
              Spontaneous haematomas of the iliac psoas muscle are rare lesions seen in patients receiving anticoagulant agents or suffering from clotting disorders. We report the rare case of a spontaneous iliac psoas haematoma causing femoral neuropathy in a patient not undergoing anticoagulant treatment or suffering from a coagulopathy. After conservative treatment the patient was entirely asymptomatic, and magnetic resonance imaging demonstrated complete dissolution of the haematoma. Spontaneous iliac psoas haematomas should be considered in the differential diagnosis of leg pain in otherwise healthy patients.
              Article 0 comments Cited 15 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): J Korean Neurosurg Soc
                Journal ID (publisher-id): JKNS
                Title: Journal of Korean Neurosurgical Society
                Publisher: The Korean Neurosurgical Society
                ISSN (Print): 2005-3711
                ISSN (Electronic): 1598-7876
                Publication date (Print): January 2012
                Publication date (Electronic): 31 January 2012
                Volume: 51
                Issue: 1
                Pages: 51-53
                Affiliations
                [1 ]Department of Neurosurgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
                [2 ]Department of Rehabilitation Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
                [3 ]Department of Thoracic and Cardiovascular Surgery, Seoul National University Boramae Hospital, Seoul, Korea.
                Author notes
                Address for reprints: Keun-Tae Cho, M.D. Department of Neurosurgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, 814 Siksa-dong, Ilsandong-gu, Goyang 410-773, Korea. Tel: +82-31-961-7322, Fax: +82-31-961-7327, ktcho21@ 123456naver.com
                Article
                DOI: 10.3340/jkns.2012.51.1.51
                PMC ID: 3291708
                PubMed ID: 22396845
                SO-VID: 9ce12f25-83bf-41a9-bf06-9efd6c41e3e8
                Copyright © Copyright © 2012 The Korean Neurosurgical Society
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 20 May 2011
                Date revision received : 28 June 2011
                Date accepted : 11 January 2012
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Surgery
                Keywords: iliacus muscle hamatoma,femoral neuropathy,anticoagulation therapy
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: iliacus muscle hamatoma, femoral neuropathy, anticoagulation therapy

                Comments

                Comment on this article

                scite_

                Similar content1,079

                See all similar

                Cited by10

                See all cited by

                Most referenced authors99

                See all reference authors