Lumbar plexus neuropathy resulting from retroperitoneal hemorrhage.
A case of lumbar plexus neuropathy occurring in the setting of heparin therapy is reported. Documentation of the site of a retroperitoneal hematoma by CT scan was made prior to the full clinical evolution of lumbar plexus neuropathy resulting from a psoas-muscle hematoma. Two patterns of retroperitoneal bleeding and their respective clinical manifestations are discussed. Early diagnosis of these syndromes may allow for intervention before neurologic compromise is established.
D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000150:complications; D006470:Hemorrhage / Q000139:chemically induced / Q000150:complications*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008160:Lumbosacral Plexus; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000209:etiology; D010532:Peritoneal Diseases / Q000150:complications; D012187:Retroperitoneal Space; D013577:Syndrome
D006493:Heparin