J Korean Acad Rehabil Med Search

CLOSE


Journal of the Korean Academy of Rehabilitation Medicine 2009;33(5):635-638.
Treatment of Spontaneous Psoas Hematoma in a Hemiplegic Patient Undergoing Anticoagulation Therapy: case report.
Lee, Kang Woo , Kim, Min Su , Park, Kwang Bo , Kang, Tae Wook , Cho, Nam Soon , Jung, Jin Wook , Kim, Young Bum
1Department of Physical Medicine and Rehabilitation, Samsung Seoul Medical Center, Sungkyunkwan University School of Medicine, Korea. kwp.lee@samsung.com
2Department of Radiology, Samsung Seoul Medical Center, Sungkyunkwan University School of Medicine, Korea.
뇌졸중 환자에서 항응고치료 중 발생한 자발성 허리근 혈종의 치료-증례 보고-
이강우, 김민수, 박광보1, 강태욱1, 조남순, 정진욱, 김영범
성균관대학교 의과대학 삼성서울병원 재활의학교실, 1영상의학교실
Abstract
Spontaneous psoas hematoma in patients receiving anticoagulation therapy is a rare condition, but sometimes very serious even fatal, if not properly treated on time. One of our patients developed large spontaneous psoas hematoma while intensive rehabilitation therapy due to recent stroke with global aphasia and right hemiplegia. He had undergone anticoagulation therapy with warfarin and prothrombin time was within therapeutic range. Patient revealed sudden cold sweating with change of vital sign. Because of global aphasia, he could not explain subjective symptoms, but revealed rebound tenderness in right lower quadrant on physical examination. Emergency abdominal & pelvic CT scan showed large hematoma on right iliopsoas area with retroperitoneal extension. Because of unstable hemodynamics and high risks for surgery, transcatheter arterial emboilzation was recommended. Bleeding was controlled successfully after transcatheter arterial embolization, and vital sign was stabilized without other neurologic change. (J Korean Acad Rehab Med 2009; 33: 635-638)
Key Words: Psoas hematoma, Anticoagulants, Embolization


ABOUT
ARTICLE TYPES

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer