Spontaneous Obturator Internus Hematoma-a Rare Cause of Hip Pain: Case Report.
BACKGROUND
Obturator internus hematoma(OIH) is a very rare entity. In past it has been reported in hemophilics, we firstly report obturator internus hematoma in a patient of stroke on antiplatelet drugs. Obturator internus hematoma can cause severe hip pain with normal X-rays, so it should kept in differential diagnosis of hip pain with normal radiographs.


METHODS
74 year old male with history of recent onset stroke presented to us with left side weakness and left hip pain. Radiographs were normal. MRI revealed left obturator internus hematoma. Patient was treated conservatively by stopping antiplatelet medications.


CONCLUSIONS
Obturator internus hematoma is very rare but very important entity to recognise as it may mimic myositis or abscess around hip joint. Failing to recognize it and treating patient surgically may lead to untoward consequences.
Department of Orthopaedic, Bombay Hospital, Ring road, Indore. India.
Varun
V
Chouhan
Department of Neurology, Bombay Hospital, Ring road, Indore. India.
Alok
A
Mandliya
Department of Radiology, Bombay Hospital, Ring road, Indore. India.
Kiran
K
Chouhan
Obturator internus; Obturator internus hematoma; antiplatelet drugs; muscle abcess