Bauduceau Olivier, De Revel Thierry, Fogelman Jacques, Amadou Sabo, Souleau Bertrand, Nedellec Gérard
Service d'Hématologie, Hôpital d'Instruction des Armés Percy, 115, avenue Henri-Barbusse, 92141 Clamart Cedex.
Ann Med Interne (Paris). 2003 May;154(3):183-6.
Spontaneous hematoma in the ilio-psoas muscle is an uncommon condition, usually observed as a complication of anticoagulation or hemophilia. Clinically, the onset is marked by violent pain in the territory of femoral nerve and/or psoitis. The diagnosis is confirmed by echography or CT-scan. The most serious complications are loss of self-sufficiency and neuro-muscular after-effect. Surgery is recommended in patients with neurological suffering, followed by early physiotherapy. We report the case of a 42-year-old man, with an ilio-psoas muscle hematoma, revealing chronic myeloid leukemia, without any hemostasis disorder.
髂腰肌自发性血肿是一种罕见病症，通常作为抗凝或血友病的并发症出现。临床上，发病以股神经区域剧烈疼痛和/或腰肌炎为特征。通过超声检查或CT扫描确诊。最严重的并发症是生活自理能力丧失和神经肌肉后遗症。对于有神经损伤的患者建议进行手术，随后尽早进行物理治疗。我们报告一例42岁男性患者，患有髂腰肌血肿，经检查发现患有慢性粒细胞白血病，且无任何止血障碍。
