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  • Title: Subsequently occurring bilateral iliopsoas hematoma: a case report.
    Author: Lee KS, Jeong IS, Oh SG, Ahn BH.
    Journal: J Cardiothorac Surg; 2015 Dec 11; 10():183. PubMed ID: 26654526.
    Abstract:
    BACKGROUND: Spontaneous bilateral iliopsoas hematomas is a rare complication after anticoagulant therapy. Furthermore, the onset of bilateral iliopsoas hematoma is unknown because the causes are unclear. CASE PRESENTATION: A 65-year-old man on anticoagulant therapy after mechanical aortic valve replacement was admitted after presenting with severe pain in the left flank and abdomen. Abdominal CT revealed a large left-sided iliopsoas hematoma with extravasation. Fresh frozen plasma was transfused due to prolonged prothrombin time. Transarterial embolization was successfully performed. During the hospital stay, follow-up abdominal CT was performed and a small right-sided iliopsoas hematoma was detected. This was closely observed and an intervention was not performed, as the patient was asymptomatic. The final CT prior to discharge revealed a reduction in size of each hematoma. CONCLUSIONS: Spontaneous bilateral iliopsoas hematoma can be developed subsequently. Patients with unilateral iliopsoas hematoma should be closely monitored for development of bilateral iliopsoas hematoma.
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