DOI QR코드

DOI QR Code

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

  • Kong, Woo-Keun (Department of Neurosurgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine) ;
  • Cho, Keun-Tae (Department of Neurosurgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine) ;
  • Lee, Ho-Jun (Department of Rehabilitation Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine) ;
  • Choi, Jae-Sung (Department of Thoracic and Cardiovascular Surgery, Seoul National University Boramae Hospital)
  • 투고 : 2011.05.20
  • 심사 : 2012.01.11
  • 발행 : 2012.01.28

초록

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.

키워드

참고문헌

  1. Ashrani AA, Osip J, Christie B, Key NS : Iliopsoas haemorrhage in patients with bleeding disorders--experience from one centre. Haemophilia 9 : 721-726, 2003 https://doi.org/10.1046/j.1351-8216.2003.00822.x
  2. Balkan C, Kavakli K, Karapinar D : Iliopsoas haemorrhage in patients with haemophilia : results from one centre. Haemophilia 11 : 463-467, 2005 https://doi.org/10.1111/j.1365-2516.2005.01123.x
  3. Goodfellow J, Fearn CB, Matthews JM : Iliacus haematoma. A common complication of haemophilia. J Bone Joint Surg Br 49 : 748-756, 1967
  4. Guha SC, Poole MD : Stress fracture of the iliac bone with subfascial femoral neuropathy : unusual complications at a bone graft donor site : case report. Br J Plast Surg 36 : 305-306, 1983 https://doi.org/10.1016/S0007-1226(83)90048-6
  5. Guivarc'h M : [Hematoma of the iliac psoas muscle. 29 cases]. J Chir (Paris) 134 : 382-389, 1997
  6. Marquardt G, Barduzal Angles S, Leheta F, Seifert V : Spontaneous haematoma of the iliac psoas muscle : a case report and review of the literature. Arch Orthop Trauma Surg 122 : 109-111, 2002 https://doi.org/10.1007/s004020100310
  7. Merrick HW, Zeiss J, Woldenberg LS : Percutaneous decompression for femoral neuropathy secondary to heparin-induced retroperitoneal hematoma : case report and review of the literature. Am Surg 57 : 706-711, 1991
  8. Nakamura Y, Mitsui H, Toh S, Hayashi Y : Femoral nerve palsy associated with iliacus hematoma following pseudoaneurysm after revision hip arthroplasty. J Arthroplasty 23 : 1240.e1-e4, 2008
  9. Nakao A, Sakagami K, Mitsuoka S, Uda M, Tanaka N : Retroperitoneal hematoma associated with femoral neuropathy : a complication under antiplatelets therapy. Acta Med Okayama 55 : 363-366, 2001
  10. Nobel W, Marks SC Jr, Kubik S : The anatomical basis for femoral nerve palsy following iliacus hematoma. J Neurosurg 52 : 533-540, 1980 https://doi.org/10.3171/jns.1980.52.4.0533
  11. Parmer SS, Carpenter JP, Fairman RM, Velazquez OC, Mitchell ME : Femoral neuropathy following retroperitoneal hemorrhage : case series and review of the literature. Ann Vasc Surg 20 : 536-540, 2006 https://doi.org/10.1007/s10016-006-9059-2
  12. Pirouzmand F, Midha R : Subacute femoral compressive neuropathy from iliacus compartment hematoma. Can J Neurol Sci 28 : 155-158, 2001 https://doi.org/10.1017/S0317167100052860
  13. Qanadli SD, El Hajjam M, Mignon F, Bruckert F, Chagnon S, Lacombe P : Life-threatening spontaneous psoas haematoma treated by transcatheter arterial embolization. Eur Radiol 9 : 1231-1234, 1999 https://doi.org/10.1007/s003300050824
  14. Rochman AS, Vitarbo E, Levi AD : Femoral nerve palsy secondary to traumatic pseudoaneurysm and iliacus hematoma. J Neurosurg 102 : 382-385, 2005 https://doi.org/10.3171/jns.2005.102.2.0382
  15. Wada Y, Yanagihara C, Nishimura Y : Bilateral iliopsoas hematomas complicating anticoagulant therapy. Intern Med 44 : 641-643, 2005 https://doi.org/10.2169/internalmedicine.44.641
  16. Wicky S, Mayor B, Schnyder P : Clinical impact of imaging iliopsoas hematomas during anticoagulation. Emerg Radiol 2 : 2-6, 1995 https://doi.org/10.1007/BF02616382

피인용 문헌

  1. Complete Femoral Nerve Palsy Following Traumatic Iliacus Hematoma : A Case Report and Literature Review vol.3, pp.3, 2012, https://doi.org/10.2106/jbjs.cc.l.00291
  2. Femoral compressive neuropathy from iliopsoas haematoma complicating dengue hemorrhagic fever vol.6, pp.5, 2012, https://doi.org/10.1016/s1995-7645(13)60052-8
  3. Non-operative Treatment of Femoral Neuropathy Caused by Iliacus Hematoma: A Case Report vol.26, pp.1, 2012, https://doi.org/10.5371/hp.2014.26.1.50
  4. Complete paralysis of the quadriceps secondary to post-traumatic iliopsoas hematoma: a systematic review vol.25, pp.1, 2012, https://doi.org/10.1007/s00590-013-1305-z
  5. [Ultrasound findings of hamstring hematoma in a patient taking anticoagulants]. vol.55, pp.5, 2015, https://doi.org/10.5692/clinicalneurol.cn-000639
  6. Unanticipated Motor Weakness with Ultrasound-Guided Transversalis Fascia Plane Block : vol.5, pp.7, 2012, https://doi.org/10.1213/xaa.0000000000000237
  7. Spontaneous iliopsoas muscle haematoma as a complication of anticoagulation in acute cerebral venous thrombosis: to stop or not to stop (the anticoagulation)? vol.2015, pp.None, 2012, https://doi.org/10.1136/bcr-2014-206410
  8. Delayed iliacus compartment syndrome following femoral artery puncture: case report and literature review vol.2016, pp.6, 2016, https://doi.org/10.1093/jscr/rjw102
  9. A Case of Iliacus Muscle Hematoma Associated with Heparin Bridging for Surgical Resection of Gastric Cancer vol.77, pp.6, 2012, https://doi.org/10.3919/jjsa.77.1585
  10. Compressive Femoral Neuropathy Associated with Iliopsoas Hematoma Complicating Hip Hemiarthroplasty: A Case Report vol.7, pp.5, 2017, https://doi.org/10.13107/jocr.2250-0685.872
  11. Warfarin‐induced spontaneous iliopsoas hematoma — An unusual complication vol.6, pp.8, 2012, https://doi.org/10.1002/ccr3.1665
  12. Rhabdomyolysis with Acute Kidney Injury Caused by Bilateral Iliopsoas Hematoma in a Patient with Atrial Fibrillation vol.58, pp.19, 2019, https://doi.org/10.2169/internalmedicine.2749-19
  13. Various Complications after a Vascular Procedure in Patients with Hemophilia vol.26, pp.1, 2019, https://doi.org/10.15264/cpho.2019.26.1.55
  14. Percutaneous Drainage of an Iliopsoas Hematoma in a Hemophilia Patient vol.42, pp.7, 2012, https://doi.org/10.1097/mph.0000000000001503
  15. Spontaneous iliacus haematoma with femoral nerve palsy: an appeal to involve surgical teams early vol.14, pp.1, 2012, https://doi.org/10.1136/bcr-2020-239024
  16. Spontaneous ilio-psoas haematomas (IPHs): a warning for COVID-19 inpatients vol.53, pp.1, 2012, https://doi.org/10.1080/07853890.2021.1875498
  17. Management of Spontaneous Bleeding in COVID-19 Inpatients: Is Embolization Always Needed? vol.10, pp.18, 2012, https://doi.org/10.3390/jcm10184119