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Massive psoas haematoma causing lumbar plexus palsy: a case report

Xavier Conesa1, Oscar Ares, Roberto Seijas

  • 1Department of Traumatology and Orthopaedic Surgery, Hospital Municipal de Badalona, Barcelona, Spain.

Journal of Orthopaedic Surgery (Hong Kong)
|April 27, 2012
PubMed

An 84-year-old man who was receiving oral anticoagulation therapy presented with complete lumbar plexus palsy caused by a massive psoas haematoma. Conservative treatment rather than drainage of the haematoma was undertaken, because of the risk of bleeding complications and mortality. At the one-year follow-up, the patient had no clinical signs of neurological recovery. The patient died 2 months later due to his concurrent medical problems. A high degree of suspicion is needed for the diagnosis because of the insidiously developing neurological deficit.

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