Femoral Neuropathy Secondary to Iliopsoas Spontaneous Haematoma
Published: 2021-06-01
Page: 155-158
Issue: 2021 - Volume 4 [Issue 1]
Mustapha Rkik
*
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
Saleh Nedjim
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
Abdi EL Mustapha
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
Amine Moataz
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
Dakir Mohammed
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
Adil Debbagh
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
Rachid Aboutaieb
University Hospital Center Ibn Rochd Casablanca, Casablanca, Morroco and Faculté de Médicine et de Pharmacie Casablanca, Casablanca, Morroco.
*Author to whom correspondence should be addressed.
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.
Keywords: Femoral neuropathy, retroperitoneal hematoma, oral anticoagulants, vitamin K antagonist