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BMJ Case Rep. 2013 Nov 15;2013. pii: bcr2013201291. doi: 10.1136/bcr-2013-201291.

Emergency department ultrasound diagnosis of spontaneous iliopsoas haemorrhage in a patient on warfarin.

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  • 1Department of A&E Medicine, Frimley Park Hospital, Camberley, UK.

Abstract

A 87-year-old man presented to the emergency department (ED) with right-sided abdominal and thigh pain which had been present for the last 3 days and was getting worse. He had been diagnosed with a deep venous thrombosis of the left common femoral and superficial veins 10 days previously and had been discharged on a loading dose of warfarin and low-molecular weight heparin (dalteparin) injections. Despite his international normalised ratio being only 2.4, an ED ultrasound showed an unusual mass in the right iliac fossa, partly cystic and partly solid. A CT scan was performed which showed the lesion was a haematoma in the right iliopsoas muscle mass.

PMID:
24243507
PMCID:
PMC3830260
DOI:
10.1136/bcr-2013-201291
[PubMed - indexed for MEDLINE]
Free PMC Article
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