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Chronic expanding hematoma in the psoas muscle
Author(s) -
YAMASAKI TOSHINARI,
SHIRAHASE TOSHIAKI,
HASHIMURA TAKAYUKI
Publication year - 2005
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2005.01209.x
Subject(s) - medicine , hematoma , lesion , magnetic resonance imaging , granulation tissue , radiology , back pain , lung , surgery , pathology , wound healing , alternative medicine
We report an unusual case of chronic expanding hematoma in the psoas muscle. A 53‐year‐old man was admitted for evaluation of a mass shadow in the left lower lung field on chest X‐rays. He had also been suffering from dull left back pain. A computed tomography scan showed a cystic lesion with a rim enhancement in the left retroperitoneal space. Mixed signal intensity in a mosaic pattern was seen on a T2‐weighted magnetic resonance image. We could not rule out a suspicion of a neoplastic intratumoral hemorrhage. Due to increased pain and the definite diagnosis, surgery was performed. Histopathological examination confirmed the diagnosis of chronic expanding hematoma. The expansion process is thought to be due to the irritant effects of blood and its breakdown products, which cause repeated exudation and bleeding from capillaries in the granulation tissues.