[Femoral neuropathy due to a spontaneous hematoma of the iliopsoas muscle during therapy with heparin-calcium].
With increased use of anticoagulant agents, femoral neuropathy subsequent to spontaneous hemorrhage within the ileo-psoas muscle has become a serious and more frequent clinical problem. The authors describe one case of femoral neuropathy from iliac muscle hematoma during heparin administration. The successful surgical treatment by decompression and drainage is reported. The anatomical and CT scanning features with the suspected pathogenesis are emphasized, as well as the role of early diagnosis in the assessment of prognosis and for successful operative decompression.
Casoni
P
P
Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo, Università degli Studi di Parma.
Dalla Valle
R
R
D000368:Aged; D005260:Female; D005267:Femoral Nerve / Q000601:surgery; D005343:Fibrinolytic Agents / Q000009:adverse effects*; D006406:Hematoma / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D009135:Muscular Diseases / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016658:Psoas Muscles / Q000601:surgery
D005343:Fibrinolytic Agents; C006871:calcium heparin; D006493:Heparin