[Anticoagulants and psoas hematoma].
Between 1985 and 1989, 16 patients under anticoagulant therapy developed a haematoma in the psoas or iliac muscle, 60% of them with a severe femoral nerve entrapment syndrome. Six patients were operated, all with a femoral nerve paralysis, and 5 of them had a quick and complete recovery. Only one still has some complaints in the femoral nerve territory. Among the 10 patients with a nonoperative approach, none of those with a femoral nerve paralysis was completely cured at 6 months. The surgical treatment is the best way to a quick recovery, provided it is done at an early stage.
Rosset
P
P
Service de chirurgie, CHUV, Lausanne.
Mir
A
A
Wassmer
F A
FA
D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D005267:Femoral Nerve / Q000187:drug effects / Q000601:surgery; D006406:Hematoma / Q000139:chemically induced* / Q000601:surgery; D006801:Humans; D009408:Nerve Compression Syndromes / Q000139:chemically induced / Q000601:surgery; D016658:Psoas Muscles / Q000187:drug effects* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants
Anticoagulants et hématome du psoas.