title: Femoral nerve palsy associated with bilateral spontaneous iliopsoas haematomas: a complication of venous thromboembolism therapy.
abstract: We report a case of femoral nerve palsy occurring as a result of spontaneous bilateral iliopsoas haematomas in an elderly patient on treatment dose dalteparin for a suspected pulmonary embolus. There are limited case reports in the literature relating to this rare problem, and their management is controversial. We advocate non-operative treatment in the instance of a delayed presentation in a frail elderly patient with a subsequent good functional outcome.
authors.affiliation: Poole Hospital NHS Foundation Trust, Poole, Dorset BH15 2JB, UK.
authors.forename: Hannah
authors.initials: H
authors.lastname: Podger
authors.affiliation: Poole Hospital NHS Foundation Trust, Poole, Dorset BH15 2JB, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Kent
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects*; D017985:Dalteparin / Q000009:adverse effects*; D005260:Female; D020428:Femoral Neuropathy / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D010243:Paralysis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D026741:Physical Therapy Modalities; D011237:Predictive Value of Tests; D020127:Recovery of Function; D013997:Time Factors; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000925:Anticoagulants; D017985:Dalteparin
keywords: anticoagulation; haematoma; older people; palsy