Lauritzen Esben Stistrup, Petersen Klaus Kjær
Ugeskr Laeger. 2017 Aug 14;179(33).
After a fall without fracture an 83-year-old man who was treated with warfarin was admitted with severe groin pain on the left hip. A few days later he had reduced strength in hip flexion and knee extension, absent patellar tendon reflex, and decreased sensibility of the anterior thigh and the medial lower leg. A magnetic resonance imaging revealed a large haematoma in the left iliac muscle. Iliac haematoma-induced femoral nerve compression neuropathy is a rare condition but should be considered as a differential diagnosis for L4 root compression in patients, who are receiving anticoagulant therapy.
一名83岁接受华法林治疗的男性在跌倒未骨折后，因左髋部严重腹股沟疼痛入院。几天后，他出现髋关节屈曲和膝关节伸展力量减弱、髌腱反射消失以及大腿前部和小腿内侧感觉减退。磁共振成像显示左髂肌有一个大血肿。髂血肿引起的股神经压迫性神经病变是一种罕见疾病，但在接受抗凝治疗的患者中，应将其视为L4神经根受压的鉴别诊断。
