Spontaneous Iliopsoas Hematoma: A Rare Complication of Anticoagulant Use

Kim, Sang Wha; Kim, Dong Hwi; Jung, Sung-No

doi:10.5999/aps.2015.42.4.507

Cited by 9 publications

(11 citation statements)

References 6 publications

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“…With an ageing and increasingly co-morbid population, it is common for elderly patients with polypharmacy to be on antiplatelet or anticoagulant medication. Spontaneous Iliopsoas haematomas have been reported in warfarinised patients but not due to antiplatelet therapy in absence of other related co-morbidities 6. This case highlights spontaneous atraumatic iliopsoas haematoma secondary to antiplatelet treatment as a rare cause of hip pain.…”

Section: Introductionmentioning

confidence: 76%

“…Although rare, spontaneous haematoma of the iliopsoas has been reported in patients with varying forms of anticoagulation, those with hereditary coagulopathies and due to liver failure 3 4 6–13. In severe coagulopathy and trauma, psoas haemorrhage can cause significant morbidity and has been reported to cause haemodynamic instability due to haemorrhagic shock 8…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, previous cases have been reported in patients with significant risk factors for coagulopathy. For example, in the literature, Iliopsoas haematomas have been attributed to causes ranging from idiopathic thrombocytopenia and von Willebrand disease to cardiopulmonary bypass for open heart surgery and most commonly warfarin anticoagulant therapy 4–8 11. In contrast, low-dose aspirin would previously have been regarded as low risk for developing a complication as significant as a spontaneous psoas haematoma.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous psoas haematoma secondary to antiplatelet therapy: a rare cause of atraumatic hip pain

et al. 2019

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A 92-year-old woman with previous total hip replacement presented with sudden onset of atraumatic hip pain and inability to weight bear. In the absence of radiographic signs of fracture, loosening or biochemical evidence of infection a CT scan of the pelvis and hips was performed, which showed psoas thickening. MRI identified two separate collections related to the psoas and greater trochanteric regions. Ultrasound-guided aspiration was performed to rule out infection and demonstrated a haematoma. In contrast to previously reported cases caused by anticoagulant therapy or inherited coagulopathy, this case was secondary to single antiplatelet agent treatment alone. In the increasingly co-morbid ageing population with associated polypharmacy, aspirin is a common primary and secondary prevention treatment. In patients with atraumatic hip pain, spontaneous psoas haematoma due to antiplatelet therapy should be considered and investigated appropriately.

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Section: Introductionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous psoas haematoma secondary to antiplatelet therapy: a rare cause of atraumatic hip pain

et al. 2019

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“…16,17 Skeletal scintography studies identify the humerus, tibia, and femur as the most common sites of infarction, though the bones of the hip and pelvis are also frequently identified. 18 The absence of prior reports of PH outside of the craniofacial bones despite higher rates of infarction in other bones may be due to more urgent imaging with neurologic symptoms as opposed to musculoskeletal symptoms in patients with SCD. The thick bones of the skull are poorly adapted to accommodate increases in volume and pressure.…”

Section: Discussionmentioning

confidence: 99%

Iliopsoas hematoma in a patient with sickle cell disease

Zielonka

Cohen

Smith‐Whitley

et al. 2018

Pediatric Blood & Cancer

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Although musculoskeletal pain in patients with sickle cell disease (SCD) is most frequently the result of vaso-occlusive episodes, clinicians often consider other etiologies including osteomyelitis, avascular necrosis, and trauma. In this study, we report the case of a young female with SCD with hip and back pain secondary to a nontraumatic iliopsoas periosteal hematoma with evidence of adjacent bone infarction. The pathophysiology, diagnostic considerations, and management of periosteal hematomas in SCD are reviewed. This case highlights the need for recognition of unusual causes of musculoskeletal pain in SCD.

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“…Small hematomas usually require conservative management. Surgical intervention is mandatory for severe motor dysfunction or hemorrhagic shock [5].…”

Section: Discussionmentioning

confidence: 99%

An Elderly Man with Heart Failure and Groin Pain: The Importance of the Psoas Sign and Advanced Imaging

Koza

Taş

Özkoç

2018

Cardiovasc Imaging Asia

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Iliopsoas hematoma (IPH) is a rare and potentially life-threatening illness. The clinical symptoms can be non-specific hip, groin, or back pain with no external evidence of mass on examination and can be overlooked as musculoskeletal pain. Early diagnosis is important because early treatment results in better recovery and fewer complications. Contrast-enhanced computed tomography is the most sensitive method for confirmation of hematoma. We are reporting a case of IPH accompanied by severe hemorrhagic shock.

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Spontaneous Iliopsoas Hematoma: A Rare Complication of Anticoagulant Use

Cited by 9 publications

References 6 publications

Spontaneous psoas haematoma secondary to antiplatelet therapy: a rare cause of atraumatic hip pain

Spontaneous psoas haematoma secondary to antiplatelet therapy: a rare cause of atraumatic hip pain

Iliopsoas hematoma in a patient with sickle cell disease

An Elderly Man with Heart Failure and Groin Pain: The Importance of the Psoas Sign and Advanced Imaging

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