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Published on: March 2, 2020
Iliopsoas hematoma due to muscular rupture following defibrillation
Artan Jahollari1, Raif Cavolli2, Murat Tavlasoglu3
1Department of Cardiovascular Surgery, International Medicine Hospital, Pristina, Kosova. artanjahollari@gmail.com.
Insights
A 62-year-old experienced acute anterior ischemia, later developing an iliopsoas hematoma. This rare complication, linked to external electrical defibrillation, required surgical intervention due to rapid progression and femoral neuropathy.
Area of Science:
- Cardiology
- Traumatology
- Medical Case Reports
Background:
- Acute anterior ischemia is a critical condition requiring immediate intervention.
- Iliopsoas hematoma is a rare but serious complication that can arise from various causes.
- External electrical defibrillation is a life-saving procedure but carries potential risks.
Observation:
- A 62-year-old patient presented with acute anterior ischemia.
- The patient subsequently developed an iliopsoas hematoma and femoral neuropathy.
- Intraoperative diagnosis revealed an iliopsoas muscle rupture.
Findings:
- The iliopsoas muscle rupture was directly attributed to external electrical defibrillation administered during admission.
- Surgical treatment was necessary due to the rapid progression of the condition and associated femoral neuropathy.
Implications:
- This case highlights a rare complication of external electrical defibrillation, emphasizing the need for physician awareness.
- Early recognition and appropriate management, including surgical intervention, are crucial for favorable outcomes in iliopsoas hematoma.
- Further research may be warranted to understand the precise mechanisms and preventative strategies for defibrillation-induced muscle rupture.
Abstract:
We describe a 62 year old patient who presented with acute anterior ischemia and subsequently developed an iliopsoas hematoma. The patient was treated surgically due to rapid progression and femoral neuropathy, and the iliopsoas muscle rupture was diagnosed intraoperatively. The rupture was related to the external electrical defibrillation the patient had on admission. This was a rare case, and we hope the report would help to raise physicians' awareness regarding this complication and treatment.
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