Life-threatening spontaneous psoas haematoma treated by transcatheter arterial embolization.
We report two cases of large spontaneous psoas haematoma in patients on anticoagulant therapy. Active bleeding was well demonstrated on spiral CT. Transcatheter arterial embolization was used successfully to stop bleeding. The diagnostic strategy, the relevance of spiral computed tomography and our therapeutic approach to this complication are discussed.
Qanadli
S D
SD
Department of Radiology, University René Descartes-Paris V, Ambroise Paré Hospital, 9 avenue Charles de Gaulle, F-92104 Boulogne-Billancourt, France.
El Hajjam
M
M
Mignon
F
F
Bruckert
F
F
Chagnon
S
S
Lacombe
P
P
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects; D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000628:therapy*; D006493:Heparin / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D016658:Psoas Muscles; D014057:Tomography, X-Ray Computed / Q000379:methods
D000925:Anticoagulants; D006493:Heparin