Psoas hematoma in the elderly patient, a diagnostic challenge, a case report

International Journal of Surgery Case Reports
Anne G PosthumaBarbara C van Munster

Abstract

A psoas hematoma is an uncommon condition in patients on anticoagulant therapy and patients with bleeding disorders. It can present itself with non-specific symptoms, as anemia, pain and hemodynamically instability. The CT angioscan is the diagnostic test of choice. We report a series of 3 cases of iliopsoas hematoma in older patients. These patients were all on anticoagulant therapy and presented with non-specific symptoms as pain in back or groin, anemia and weakness of the leg. These symptoms could be well explained by other, concurrent diseases. Moreover in one case it was not possible to obtain a reliable history due to cognitive impairment of the patient. In our cases the diagnosis of a psoas hematoma was made after performing many diagnostics or found fortuitously. All three patients recovered well after (temporarily) ceasing of anticoagulant therapy. The diagnosis of a psoas hematoma is difficult, especially in elderly patients as illustrated in these cases. The symptoms of a psoas hematoma are often aspecific and can also be explained by other, comorbid diseases. Moreover, elderly patients often have an unusual presentation of illness and the presence of cognitive impairment compromises the reliability of a patients hi...Continue Reading

References

Dec 5, 2002·The American Journal of Forensic Medicine and Pathology·Elisabeth E TürkMichael Tsokos
Sep 14, 2011·The Journal of Emergency Medicine·Kharmene L SungaDaniel Cabrera
Mar 28, 2012·Geriatrics & Gerontology International·Hiroaki KawanoHiroyuki Fujisawa
Dec 19, 2013·Circulation·Sumeet S ChughChristopher J L Murray
Aug 28, 2018·Clinical Case Reports·Babikir KheiriGhassan Bachuwa
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

❮ Previous
Next ❯

Citations

Jan 2, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Hayato TaniguchiShingo Ichiba

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

Anales de medicina interna : organo oficial de la Sociedad Española de Medicina Interna
I Vallejo MarotoJ Carneado de la Fuente
The New England Journal of Medicine
C Cuvelier
Archivos españoles de urología
J A Valero PuertaR Alvarez Santalo
© 2021 Meta ULC. All rights reserved