Open AccessIliopsoas Haematoma: An Uncommon Differential Diagnosis for Groin Pain
Author(s) -
Choa GPH,
Lim CS
Publication year - 2011
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791101800309
Subject(s) - medicine , iliopsoas , groin , differential diagnosis , surgery , pelvis , hematoma , complication , warfarin , flank pain , radiology , emergency department , abdomen , abdominal pain , pathology , psychiatry , cardiology , atrial fibrillation
Bleeding complications should be considered in the differential diagnosis of any patient on warfarin therapy. A 66‐year‐old man presenting with right groin pain due to a spontaneous iliopsoas hematoma is reported. Computed tomography of the abdomen and pelvis at the emergency department confirmed the diagnosis. Fresh frozen plasma was given to correct the clotting derangement. The patient was managed conservatively. He was subsequently 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 warfarin therapy with abdominal, flank or groin pain.