title: Muscle hematomas: uncommon but horrendous complication of cirrhosis liver.
abstract: Bleeding manifestations, usually cutaneous or gastrointestinal - are common in liver cirrhosis. Spontaneous intracerebral and intramuscular bleeds are reported uncommonly, often associated with gross hepatic dysfunction and severely deranged hemostatic parameters, and are often markers to imminent mortality. Male sex, alcoholic etiology, significant thrombocytopenia, severe coagulopathy, and advanced liver disease are common denominators in patients with spontaneous intramuscular bleed. We here report three cases of spontaneous muscle hematomas complicating hepatic cirrhosis. To the best of our knowledge, this is the largest single center series reporting spontaneous muscle hematomas complicating cirrhosis from the Indian subcontinent.
authors.affiliation: Department of Gastroenterology, Government Medical College, Medical College P.O., Calicut, 673 008, India.
authors.forename: George Sarin
authors.initials: GS
authors.lastname: Zacharia
authors.forename: Roji
authors.initials: R
authors.lastname: Ray
authors.forename: Punnaveetil
authors.initials: P
authors.lastname: Sivaprasad
authors.forename: Sandesh
authors.initials: S
authors.lastname: Kolassery
authors.forename: Thazhath Mavali
authors.initials: TM
authors.lastname: Ramachandran
mesh_terms: D001778:Blood Coagulation Disorders / Q000150:complications; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007194:India; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D013921:Thrombocytopenia / Q000150:complications; D014057:Tomography, X-Ray Computed