Galgano Joseph A, Bernshteyn Michelle, Kaul Pratibha
Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Critical Care Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Cureus. 2020 Oct 23;12(10):e11116. doi: 10.7759/cureus.11116.
Our case highlights a patient with spontaneous retroperitoneal hematoma without clear cause in the setting of myasthenic crisis. While myasthenia gravis (MG) has been reported in the literature to be associated with vascular pathology such as polyarteritis nodosa, its association with coagulopathy and spontaneous major bleed is currently unclear. The patient in this case developed a sudden unprovoked iliopsoas hematoma while in the ICU for the management of newly diagnosed MG. Acute anemia was the only clinical sign which was later confirmed by imaging findings.
我们的病例突出显示了一名在重症肌无力危象背景下出现原因不明的自发性腹膜后血肿的患者。虽然文献报道重症肌无力（MG）与诸如结节性多动脉炎等血管病变有关，但其与凝血病和自发性大出血的关联目前尚不清楚。该病例中的患者在重症监护病房（ICU）接受新诊断的MG治疗时突然出现无缘无故的髂腰肌血肿。急性贫血是唯一的临床体征，后来经影像学检查得以证实。
