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[Un hombre con ecchymoses espontáneas en el flanco bilateral]
Sofie de Wilde-van der Plaat1,2, Douwe Rijpsma3
1Radboudumc, afd. Spoedeisende Hulp, Nijmegen.
Nederlands tijdschrift voor geneeskunde
|August 20, 2025
Resumen
Un hematoma iliopsoas espontáneo puede causar el signo de Grey Turner, un signo de hemorragia retroperitoneal. Esta presentación poco común pone de relieve una rara causa de dolor abdominal y en la ingle.
Área de la Ciencia:
- Estudio de caso médico
- Radiología
- Patología quirúrgica
Sus antecedentes:
- Los hematomas iliopsoas son colecciones de sangre en el músculo iliopsoas.
- El signo gris de Turner (ecimoz en el costado) típicamente indica hemorragia retroperitoneal.
Objetivo del estudio:
- Para presentar un caso de hematoma iliopsoas que presenta el signo de Grey Turner.
- Para resaltar una etiología poco común de la hemorragia retroperitoneal.
Principales métodos:
- Informe de caso de un paciente de 66 años.
- Presentación clínica, hallazgos de diagnóstico y revisión de imágenes.
Principales resultados:
- El paciente presentaba dolor en la parte inferior del abdomen y en la ingle.
- Se observaron ecimias espontáneas bilaterales en el flanco, atribuidas a un hematoma iliopsoas bilateral espontáneo.
Conclusiones:
- El hematoma iliopsoas, aunque poco común, puede manifestarse como un signo de Grey Turner.
- Este caso subraya la importancia de considerar el hematoma iliopsoas en el diagnóstico diferencial de las ecimias de los flancos y el dolor abdominal.
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