Femoral Neuropathy Secondary to Iliopsoas Spontaneous Haematoma
Mustapha Rkik, Saleh Nedjim, Abdi EL Mustapha, Amine Moataz, Dakir Mohammed, Adil Debbagh, Rachid Aboutaieb
Asian Journal of Orthopaedic Research · pp. 155–158 · Published 1 Jun 2021
Abstract
We report a case of a 51-year-old male patient under Acénocoumarol medication, he developed a severe right hip and femoral neuropathy with no history of trauma. Laboratory data revealed prolonged international normalized ratio level of 8 and imaging studies showed a large haematoma surrounding the right iliopsoas muscle (16 cm x 8 cm x 3 cm). The patient was treated conservatively with discontinuation of his anticoagulation remedy and vitamin K administration and he was discharged well without complication. Iliopsoas haematoma or spontaneous retroperitoneal haemorrhage is an uncommon complication that needs to be considered in the differential diagnosis of a patient on Acénocoumarol therapy with abdominal, flank or groin pain.
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