2012, Number 2
<< Back Next >>
Rev cubana med 2012; 51 (2)
Femoral neuropathy and bilateral hematoma: psoas-iliac muscles associated with a warfarin treatment
Rodríguez FR, Rodríguez AL, Buchaca FE, Fernández VF, Suardiaz ML, Aguilar CMC
Language: Spanish
References: 14
Page: 191-196
PDF size: 110.82 Kb.
ABSTRACT
This is the case of a man suffered of a bilateral hematoma of psoas-iliac muscles as a consequence of warfarin treatment. After 6 days od analgesic treatment, values of INR lower than 1,5 and bleeding control warfarin was prescribed to continue the prophylaxis by mechanical valvular prosthesis. He was discharged with motor sequelae due to femoral neuropathy maintained with a physiotherapy treatment. A neuropathy by compression of femoral nerve due to hematoma of psoas-iliac muscles was diagnosed. The cases of retroperitoneal hematomas are scarce in medical literature and in Cuba there were not published cases.
REFERENCES
Ashrani AA, Osip J, Christie B, Key NS. Iliopsoas haemorrhage in patients with bleeding disorders: experience from one centre. Haemophilia. 2003;9(6):721-6.
Dauty M, Sigaud M, Trossaert M, Fressinaud E, Leterneur J, Dubois C. Iliopsoas hematoma in patients with hemophilia: a single-center study. Joint Bone Spine. 2007;74(2):179-83.
Parmer SS, Carpenter JP, Fairman RM, Velazquez OC, Mitchel ME. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg .2006;20(4):536-40.
González C, Penado S, Llata L, Valero C, Riancho JA. The clinical spectrum of retroperitoneal hematoma in anticoagulated patients. Medicine (Baltimore). 2003;82(4):257-62.
Weiss JM, Tolo V. Femoral nerve palsy following iliacus hematoma. Orthopedics.2008;31(2):178.
Jamjoom ZA, Al-Bakry A, Al-Momen A, Malabary T, Tahan AR, Yacub B. Bilateral femoral nerve compression by iliacus hematomas complicating anticoagulant therapy. Surg Today. 1993;23:535-40.
Debolt WL, Jordan JC. Femoral neuropathy from heparin hematoma: Report of two cases. Bull Los Angels Neurol Soc. 1966;31:45-50.
Hylek EM, Chang YC, Skates SJ, Hughes RA, Singer DE. Prospective study of outcomes of ambulatory patients with excessive Warfarin anticoagulation. Arch Inter Med. 2000;160:1612-7.
Griffin BL, Burkiewicz JS, Peppers LR, Warholak TL. International Normalized Ratio values in group versus individual appointments in a pharmacist-managed anticoagulation clinic. Am J Health Syst Pharm. 2009:1;66(13):1218-23.
Marquardt G, Carduzal Angles S, Leheta F, Seifert V. Spontaneous haematoma of the iliac psoas muscle: a case report and a review of the literature. Arch Orthop Trauma Surg. 2002;122:109-11.
Nobel W, Marks SC Jr, Kubik S. The anatomical basis for femoral nerve palsy following iliacus hematoma. J Neurosurg. 1980;52:533-40.
Cingel V. Kokavec M, Trnka J. Paresis of the femoral nerve in pelvic extraperitoneal hematoma: case reports and literature review. Acta Chir Orthop Traumatol Cech. 2005;72(4):250-3.
Lenchik L, Dovgan DJ, Kier R. CT of the iliopsoas compartment: value in differentiating tumor, abscess, and hematoma. Am J Roentgenol. 1994;162:83-6.
14.Giuliani G, Poppi M, Acciarri N, Forti A. CT Scan and surgical treatment of traumatic iliacus hematoma with femoral neuropathy: case report. J Trauma. 1990;30:229-31.