[Two cases of atraumatic iliopsoas hematoma].
We report two cases of atraumatic iliopsoas hematoma. First patient was a 76-year-old man admitted to our hospital from appetite loss. Blood transfusion did not improve his anemia. Five days after admission, suddenly he went into shock. CT scan revealed ileopsoas hematoma. He died from hemorrhagic shock in spite of conservative therapy. Second patient was a 70-year-old man admitted because of acute heart failure. Continuous hemodiafiltration was required to relieve anuria. The next day, he developed left leg and hip pain. CT scan revealed ileopsoas hematoma and he received CT guided aspiration drainage for decompression, but almost 7 days were needed to achieve successful pain control. In a case of iliopsoas hematoma, early diagnosis and adequate choise of therapy are necessary to improve prognosis of patients.
Murakami
Tsuyoshi
T
Department of Anesthesiology & Reanimatology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193.
Nobukawa
Yasunari
Y
Tabata
Mari
M
Ueda
Masashi
M
Yasuda
Yoshikazu
Y
Suzuki
Hisato
H
Shigemi
Kenji
K
D000368:Aged; D017809:Fatal Outcome; D006333:Heart Failure / Q000209:etiology; D006406:Hematoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D017583:Hemodiafiltration; D006801:Humans; D008297:Male; D016658:Psoas Muscles; D012771:Shock, Hemorrhagic / Q000209:etiology; D013396:Suction; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome