超声检查有助于创伤性髂腰肌出血的诊断：两例不同表现病例报告

Ultrasonography Facilitates the Diagnosis of Traumatic Iliopsoas Hemorrhage: A Report of Two Cases with Different Patterns.

作者信息

Tsai Yi-Ting, Chen Chi-An, Liang Keng-Wei, Huang Hsin-Hui, Lee Hsiang-Lin, Tyan Yeu-Sheng, Tsao Teng-Fu

机构信息

Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan.

Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan.

出版信息

J Med Ultrasound. 2022 May 3;31(1):51-54. doi: 10.4103/jmu.jmu_4_22. eCollection 2023 Jan-Mar.

DOI:10.4103/jmu.jmu_4_22

PMID:37180624

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10173832/

Abstract

We report two cases of traumatic iliopsoas hemorrhage, without hemoperitoneum, initially detected by ultrasound. Flexion hip contracture in the first case and incomplete femoral nerve palsy in the second case alerted the sonographer to the possibility of traumatic iliopsoas hemorrhage. The first case involved a 54-year-old man who complained of progressive right flank pain and difficulty in walking after falling to the ground. The second case involved a 34-year-old man who complained of severe lower back pain and numbness and weakness of the left leg after a motorcycle accident. In both cases, iliopsoas hemorrhage was confirmed on subsequent multidetector computed tomography.

摘要

我们报告两例创伤性髂腰肌出血病例，无腹腔积血，最初通过超声检测发现。第一例出现髋关节屈曲挛缩，第二例出现股神经不完全麻痹，这使超声检查医师警惕到创伤性髂腰肌出血的可能性。第一例患者为一名54岁男性，主诉摔倒后右侧胁腹渐进性疼痛及行走困难。第二例患者为一名34岁男性，主诉摩托车事故后严重下背部疼痛及左腿麻木无力。在这两例病例中，随后的多排螺旋计算机断层扫描均证实了髂腰肌出血。