血友病患者髂腰肌假肿瘤的危及生命的活检：病例报告

Life-threatening biopsy of an iliopsoas pseudotumour in a patient with haemophilia: a case report.

作者信息

Al Saadi Azan S, Al Wadan Ali H, El Hamarneh Sami A, Emad Mohamed E

机构信息

Department of Surgery, Sana'a University, Sana'a, Yemen.

出版信息

J Med Case Rep. 2008 Apr 30;2:135. doi: 10.1186/1752-1947-2-135.

DOI:10.1186/1752-1947-2-135

PMID:18447900

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2412891/

Abstract

Iliopsoas pseudotumour is a serious complication of haemophilia. We present the case of a 20-year-old male patient with a six-month history of left leg weakness, limitation of movement and wasting of the muscles. Clinically he was diagnosed as having a psoas muscle rhabdomyosarcoma. During a computed tomography (CT) scan-guided Tru-cut biopsy he developed a serious and life-threatening bleeding from a retroperitoneal muscular haematoma. The patient underwent laparotomy prior to his final diagnosis of an Iliopsoas pseudotumour, which is a serious, as well as rare, complication of haemophilia.

摘要

髂腰肌假瘤是血友病的一种严重并发症。我们报告一例20岁男性患者，有六个月左腿无力、活动受限及肌肉萎缩病史。临床上他被诊断为腰大肌横纹肌肉瘤。在计算机断层扫描（CT）引导下进行粗针穿刺活检时，他因腹膜后肌肉血肿出现了严重的、危及生命的出血。在最终诊断为髂腰肌假瘤之前，患者接受了剖腹手术，髂腰肌假瘤是血友病一种严重且罕见的并发症。