Urologic manifestations of the iliacus hematoma syndrome.
Anticoagulated patients may have a characteristic syndrome of femoral neuropathy from an iliacus muscle hematoma. They may present with urologic signs and symptoms, including groin, flank and thigh pain, groin tenderness, an iliac fossa mass and hematuria. Urography may reveal an enlarged psoas shadow and hydronephrosis from ureteral obstruction. Prompt diagnosis is essential so that early operative decompression of the femoral nerve can be done. The urologist has an important role in the diagnosis and treatment of this syndrome.
D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects; D005267:Femoral Nerve / Q000033:anatomy & histology; D006406:Hematoma / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D009135:Muscular Diseases / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery; D013577:Syndrome; D014570:Urologic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
D000925:Anticoagulants