Percutaneous Drainage of an Iliopsoas Hematoma in a Hemophilia Patient

Kacar D., Ergun O. , Kara A., Culha V., Ozbek N. Y.

JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, vol.42, no.7, 2020 (Journal Indexed in SCI) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 42 Issue: 7
  • Publication Date: 2020
  • Doi Number: 10.1097/mph.0000000000001503
  • Title of Journal : JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
  • Keywords: hemophilia, iliopsoas hematoma, percutaneous drainage, FEMORAL NEUROPATHY, HEMORRHAGE

Abstract

In patients with hemophilia, the usual treatment for both iliopsoas hematoma and associated femoral nerve compression is conservative. The case presented herein is a moderate hemophilia A patient with significant femoral neuropathy due to iliopsoas hematoma whose symptoms could not be managed with an aggressive factor VIII replacement program for >2 weeks. An unusual treatment option - percutaneous catheter insertion and aspiration of the hematoma - alleviated the examination findings and reversed his abilities.