Femoral Neuropathy: A Rare Presentation of Retroperitoneal Hematoma with Review of Literature

Sahu, Kamal Kant; Mishra, Ajay Kumar; Zhang, Peng

doi:10.1007/s12288-019-01126-5

Cited by 11 publications

(7 citation statements)

References 7 publications

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“…No evidence of trauma was found in the two cases we described. Although hemorrhagic complications in soft tissues, muscles, retroperitoneum [ 18 , 19 ], are quite common even in absence of SARS-CoV-2 infection in patients treated with LMWH or anticoagulants, in our reports the temporal sequence suggests that COVID-19 was a contributing factor in the development of spontaneous muscle hematoma.…”

Section: Discussionmentioning

confidence: 55%

Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review

et al. 2020

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Background In late December 2019, a cluster of pneumonia cases due to a novel betacoronavirus, SARS-CoV-2 was reported in China. The so-called COVID 19 is responsible not only for respiratory symptoms, from mild up to pneumonia and even acute respiratory distress syndrome, but also for extrapulmonary involvement. Cases presentation Here we present two cases of spontaneous muscle hematoma in patients with SARS-CoV-2 infection, both on therapeutic LMWH for atrial fibrillation: the first one was an 86-year-old Caucasian female with a history of hypertensive cardiomyopathy and the second one was an 81-year-old Caucasian male with a history of hypertension, diabetes and ischemic heart disease. Blood tests revealed a considerable drop of hemoglobin and alterations of coagulation system. In both cases, embolization of femoral artery was performed. A few other cases of bleeding manifestations are reported in literature, while a lot has been published about the hypercoagulability related to COVID-19. Conclusions Our reports and literature review highlight the need of active surveillance for possible hemorrhagic complications in patients with SARS-CoV-2 infection.

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Section: Discussionmentioning

confidence: 55%

Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review

et al. 2020

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“…All haemodynamically unstable patients require operative intervention to control the bleeding, but OM should be also considered early if the patient is at risk of ongoing blood loss. Factors predicting the need for renal exploration include penetrating injuries and extravasation of intravascular contrast, central laceration and perirenal haematoma larger than 3.5 cm in diameter observed on a CT scan [22], [24].…”

Section: Discussionmentioning

confidence: 99%

Non-Operative Management for Renal and Splenic Trauma – A Case Report

Laculiceanu

Mereț

Rotaru

et al. 2020

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Management of abdominal trauma has evolved over the past decades and most of trauma patients can be managed conservatively. This article demonstrates the effectiveness of non-operative management (NOM) in a patient with grade IV renal trauma and grade II splenic trauma that was treated in the urology department of Emergency Clinical County Hospital of Brasov after a car crash. Clinical examination showed bruises on the right shoulder and macroscopic haematuria that suggest renal trauma. The abdomen was spontaneously painles, no signs of acute abdomen but severe pain in the left lumbar area, with no additional relevant medical history. The CT scan revealed laceration of the valvular area of the left kidney, spleen contusion and retroperitoneal haematoma with contrast spreading in the iliopsoas muscle region, classifying renal trauma as stage IV and splenic trauma as stage II on American Association for the Surgery of Trauma injury scale. The trauma is classified as serious with an Injury Severity Score of 18, and Resciniti CT score of 2, therefore NOM is recommended. Despite high grade trauma, the patient was haemodynamically stable, with a heart rate of 90 bpm, blood pressure of 105/65 mmHg and haemoglobin of 10.4g/dl. Under constant observation and with the help of a multidisciplinary team, the therapeutic focus was directed on local protocol consisting of pharmacological treatment with fluid resuscitation, antibiotic therapy, analgesics, haemostatics, anticoagulant therapy and multiple blood transfusions consisting of fresh frozen plasma and packed red blood cells. Starting with day 6, the haemoglobin levels normalized, no further blood transfusion beeing necessary. The patient was discharged and didn’t developed complications in the following 6 months. The NOM in the case of grade IV renal trauma and a grade II splenic trauma is effective, provided the patients are haemodynamically stable and constant reevaluations are performed.

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“…In addition to PTS, peripheral neuropathy from VTE can occur, although rarely, due to direct entrapment neuropathy from DVT or due to VTE treatment. Femoral neuropathy can develop as a consequence of VTE through retroperitoneal hematoma from anticoagulation [166]. Moreover, direct damage to the femoral nerve via transfemoral approaches in CDT or mechanical thrombectomy is possible with an incidence of 1.5% [167].…”

Section: Peripheral Nervous System Complications Of Vtementioning

confidence: 99%

Neurological Complications of Pulmonary Embolism: a Literature Review

Desai

Krepostman

Collins

et al. 2021

Curr Neurol Neurosci Rep

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Purpose of ReviewThe present review discusses in-depth about neurological complications following acute venous thromboembolism (VTE). Recent Findings Intracranial hemorrhage, acute ischemic cerebrovascular events, and VTE in brain tumors are described as central nervous system (CNS) complications of PE, while peripheral neuropathy and neuropathic pain are reported as peripheral nervous system (PNS) sequelae of PE. Syncope and seizure are illustrated as atypical neurological presentations of PE. Summary Mounting evidence suggests higher risk of venous thromboembolism (VTE) in patients with neurological diseases, but data on reverse, i.e., neurological sequelae following VTE, is underexplored. The present review is an attempt to explore some of the latter issues categorized into CNS, PNS, and atypical complications following VTE.

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Femoral Neuropathy: A Rare Presentation of Retroperitoneal Hematoma with Review of Literature

Cited by 11 publications

References 7 publications

Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review

Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review

Non-Operative Management for Renal and Splenic Trauma – A Case Report

Neurological Complications of Pulmonary Embolism: a Literature Review

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