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[Anticoagulants and psoas hematoma]

P Rosset1, A Mir, F A Wassmer

  • 1Service de chirurgie, CHUV, Lausanne.

Helvetica Chirurgica Acta
|July 1, 1991
PubMed

Between 1985 and 1989, 16 patients under anticoagulant therapy developed a haematoma in the psoas or iliac muscle, 60% of them with a severe femoral nerve entrapment syndrome. Six patients were operated, all with a femoral nerve paralysis, and 5 of them had a quick and complete recovery. Only one still has some complaints in the femoral nerve territory. Among the 10 patients with a nonoperative approach, none of those with a femoral nerve paralysis was completely cured at 6 months. The surgical treatment is the best way to a quick recovery, provided it is done at an early stage.

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