title: An unusual presentation of gluteal hematoma during anticoagulation therapy for deep venous thrombosis in spinal cord injury.
abstract: Soft tissue bleeding can be manifested clinically by swelling, skin discoloration, pain and tenderness. Early recognition can be difficult in the spinal cord-injured population in whom sensation is impaired. We are presenting a case of occult bleeding into the gluteal region during anticoagulation therapy in a paraplegic patient that presented as migrating pain and tenderness in the hip and pelvic area.
authors.affiliation: Department of Physical Medicine, Ohio State University, Columbus 43210.
authors.forename: M T
authors.initials: MT
authors.lastname: Balmaseda
authors.forename: C
authors.initials: C
authors.lastname: Gordon
authors.forename: M
authors.initials: M
authors.lastname: Burke
authors.forename: R
authors.initials: R
authors.lastname: Michael
mesh_terms: D000293:Adolescent; D002081:Buttocks; D003288:Contusions / Q000150:complications; D006406:Hematoma / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D013119:Spinal Cord Injuries / Q000150:complications*; D013927:Thrombosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014859:Warfarin / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D014859:Warfarin