Rabadi Meheroz H
Oklahoma City VA Medical Center, Oklahoma University Health Sciences Center, OK, USA.
Department of Neurology, Oklahoma University Health Sciences Center, OK, USA.
Radiol Case Rep. 2020 Dec 17;16(3):464-466. doi: 10.1016/j.radcr.2020.12.030. eCollection 2021 Mar.
I present here a case of psoas (retroperitoneal) hematoma; which is a rare, but potentially life-threatening acute condition, with a 30-day mortality of 10% from bleeding in the retroperitoneal space without associated trauma or iatrogenic intervention. A 59-year-old man who was on long-term anticoagulation for his atrial fibrillation presented to our facility with worsening pain in the left groin and being unable to move the left leg and walk. Computed tomography showed a large left psoas hematoma. He was treated conservatively which included reversal of his anticoagulation state. This case highlights the need for early diagnosis of psoas hematoma by computed tomography scan of the abdomen and pelvis to promptly initiate treatment to improve functional outcome.
我在此呈现一例腰大肌（腹膜后）血肿病例；这是一种罕见但可能危及生命的急性病症，在无相关创伤或医源性干预的情况下，因腹膜后间隙出血导致的30天死亡率为10%。一名因心房颤动接受长期抗凝治疗的59岁男性因左腹股沟疼痛加剧、无法移动左腿及行走前来我院就诊。计算机断层扫描显示左侧腰大肌有巨大血肿。他接受了保守治疗，包括逆转其抗凝状态。该病例强调了通过腹部和骨盆计算机断层扫描早期诊断腰大肌血肿的必要性，以便及时启动治疗以改善功能预后。
