Marquardt G, Barduzal Angles S, Leheta F, Seifert V
Neurosurgical Clinic, Johann Wolfgang Goethe University, Schleusenweg 2-16, 60528 Frankfurt am Main, Germany.
Arch Orthop Trauma Surg. 2002 Mar;122(2):109-11. doi: 10.1007/s004020100310.
Spontaneous haematomas of the iliac psoas muscle are rare lesions seen in patients receiving anticoagulant agents or suffering from clotting disorders. We report the rare case of a spontaneous iliac psoas haematoma causing femoral neuropathy in a patient not undergoing anticoagulant treatment or suffering from a coagulopathy. After conservative treatment the patient was entirely asymptomatic, and magnetic resonance imaging demonstrated complete dissolution of the haematoma. Spontaneous iliac psoas haematomas should be considered in the differential diagnosis of leg pain in otherwise healthy patients.
髂腰肌自发性血肿是接受抗凝剂治疗或患有凝血障碍的患者中罕见的病变。我们报告了一例罕见的自发性髂腰肌血肿病例,该病例导致一名未接受抗凝治疗或患有凝血病的患者出现股神经病变。经过保守治疗,患者完全无症状,磁共振成像显示血肿完全溶解。对于健康患者出现腿痛的鉴别诊断,应考虑自发性髂腰肌血肿。