title: Massive psoas haematoma causing lumbar plexus palsy: a case report.
abstract: An 84-year-old man who was receiving oral anticoagulation therapy presented with complete lumbar plexus palsy caused by a massive psoas haematoma. Conservative treatment rather than drainage of the haematoma was undertaken, because of the risk of bleeding complications and mortality. At the one-year follow-up, the patient had no clinical signs of neurological recovery. The patient died 2 months later due to his concurrent medical problems. A high degree of suspicion is needed for the diagnosis because of the insidiously developing neurological deficit.
authors.affiliation: Department of Traumatology and Orthopaedic Surgery, Hospital Municipal de Badalona, Barcelona, Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Conesa
authors.forename: Oscar
authors.initials: O
authors.lastname: Ares
authors.forename: Roberto
authors.initials: R
authors.lastname: Seijas
mesh_terms: D000369:Aged, 80 and over; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008160:Lumbosacral Plexus; D008297:Male; D009135:Muscular Diseases / Q000150:complications*; D010243:Paralysis / Q000209:etiology*; D016658:Psoas Muscles