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 (SCI-Expanded) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 42 Issue: 7
  • Publication Date: 2020
  • Doi Number: 10.1097/mph.0000000000001503
  • Journal Name: JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Keywords: hemophilia, iliopsoas hematoma, percutaneous drainage, FEMORAL NEUROPATHY, HEMORRHAGE
  • Lokman Hekim University Affiliated: No

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.