A case of idiopathic iliopsoas hemorrhage in an alcohol abuser effectively treated with vitamin K therapy

Takasu, Osamu; Nakane, Tomoyuki; Nakamura, Atsuo; Fuyuta, Shyuuhei; Takamiya, Yuumi; Yamashita, Norio; Sakamoto, Teruo

doi:10.3893/jjaam.20.367

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…We further studied cases of iliopsoas muscle hematoma accompanied by LC. During our search of Japanese and English articles previous published in medical journals, we found 7 other cases ( table 2 ) [5, 7, 8, 9, 10, 11, 12]. The median age of these patients including the present case was 58 years (range 48–62) and all patients were male.…”

Section: Discussionmentioning

confidence: 81%

Iliopsoas Muscle Hematoma Secondary to Alcoholic Liver Cirrhosis

Yamashita

Tanaka

Nomura

et al. 2012

Case Rep Gastroenterol

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Iliopsoas muscle hematoma in a patient with alcoholic liver cirrhosis is rarely seen, however it has a high mortality. Thus we should cautiously make a diagnosis and treatment. This is the case of a 60-year-old male. He had a 15-year history of alcoholic liver disease and emphysema. He presented with low back pain after a fall that had happened 2 months before. Due to persistent back pain, he went to see a local physician who, after detailed examination, suspected rupture of bilateral common iliac artery aneurysms and transferred the patient to our hospital. The same presumptive diagnosis was made, and on this basis, an aortic bifemoral Y-graft was implanted. He developed aspiration pneumonia and hepatic and renal dysfunction postoperatively, which led to multiple organ failure and subsequent in-hospital death on postoperative day 62. This was believed to be a case of iliopsoas muscle hematoma developed in a patient with liver cirrhosis, and considering it was a case with poor surgical risk, a conservative treatment option such as transcatheter arterial embolization should also have been considered. Although iliopsoas muscle hematoma with alcoholic liver cirrhosis is rare, an appropriate treatment plan should be determined on a case-by-case basis despite its poor prognosis.

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Section: Discussionmentioning

confidence: 81%

Iliopsoas Muscle Hematoma Secondary to Alcoholic Liver Cirrhosis

Yamashita

Tanaka

Nomura

et al. 2012

Case Rep Gastroenterol

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Alcohol Abuse and Alcoholic Liver Cirrhosis Leading to Spontaneous Muscle Hematoma: An Event Fraught with Danger

Mangla¹,

Hamad²,

Yadav³

et al. 2015

Case Rep Gastroenterol

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Alcohol abuse is associated with both potentiating and antagonizing hemostatic states. Liver cirrhosis is an independent causal factor for many bleeding complications. The long-term effects of alcohol abuse coupled with advanced liver cirrhosis are additive in favor of bleeding. We report the case of a patient with a history of alcohol abuse who presented with liver cirrhosis and nontraumatic muscle hematoma diagnosed as a spontaneous hematoma of the gastrocnemius muscle. He was managed conservatively with infusions of fresh frozen plasma and platelets, which resulted in resolution of the hematoma. The pathogenesis of ‘spontaneous' muscle hematoma remains anecdotal, but since it is reported in patients on anticoagulant therapy or with hemostatic disorders, it is hypothetically related to severely deranged coagulation. Here we review the relevant literature pertaining to the pathogenesis, presentation and treatment options available for treating this often fatal complication of bleeding diatheses.

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Alcoholic Liver Disease Complicated by Deep Bleeding into the Muscles or Retroperitoneum: Report of Three Cases and a Review of the Literature

et al. 2014

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We herein report three cases of alcoholic cirrhosis complicated by deep bleeding. In two of the three cases, intramuscular or retroperitoneal hematomas developed spontaneously. In contrast, in the remaining case, an intramuscular hematoma developed after trauma. In the former two patients, the intramuscular hematomas recurred at other sites during hospitalization. All three patients received conservative therapy, and one patient with a retroperitoneal hematoma underwent transcatheter arterial embolization. All of the patients eventually died of liver failure. The occurrence of severe alcoholic liver disease with deep bleeding has recently been reported with increasing frequency, and clinicians should bear this condition in mind as a life-threatening complication of alcoholic liver disease.

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A case of idiopathic iliopsoas hemorrhage in an alcohol abuser effectively treated with vitamin K therapy

Abstract: A case of idiopathic iliopsoas hemorrhage in an alcohol abuser effectively treated with vitamin K therapy

Cited by 4 publications

References 13 publications

Iliopsoas Muscle Hematoma Secondary to Alcoholic Liver Cirrhosis

Iliopsoas Muscle Hematoma Secondary to Alcoholic Liver Cirrhosis

Alcohol Abuse and Alcoholic Liver Cirrhosis Leading to Spontaneous Muscle Hematoma: An Event Fraught with Danger

Alcoholic Liver Disease Complicated by Deep Bleeding into the Muscles or Retroperitoneum: Report of Three Cases and a Review of the Literature

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