Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study.
Riccardo BattagliaAntonio CerasaMaria Elena PuglieseLucia Francesca LuccaPaolo ToninPublished in: Healthcare (Basel, Switzerland) (2022)
Iliacus muscle hematoma is a very rare condition in rehabilitation wards. A 35-year-old pregnant woman at seven months with cerebellar hematoma with signs of compression underwent a cesarean procedure together with neurosurgical decompression of the posterior cranial fossa procedure. After a period in an intensive unit without any complications, she was admitted to our neurorehabilitation ward and treated with antihypertensive therapy, heparin, and anti-seizure drugs. During a rehabilitation session, after a bed-wheelchair transfer, she was feeling very unwell suffering from severe right leg pain radiating to the mid-face leg. Despite unremarkable physical evidence (skin appearance, temperature, and peripheral arterial pulse in both legs), imaging data (ultrasound, CT, and MRI) confirmed the presence of a right iliac muscle hematoma (IMH). Enoxaparin was immediately stopped, and bed rest was prescribed in an antalgic position with tramadole acetaminophen for pain control. After a few days, the patient felt well and was discharged without any additional symptoms. Our study demonstrates that, when a sudden severe leg pain develops, IMH should be considered in the differential diagnosis. This finding suggests further research and tailored protocols for rehabilitation in patients at high risk for iliacus muscle hematoma.
Keyphrases
- chronic pain
- skeletal muscle
- pain management
- neuropathic pain
- minimally invasive
- blood pressure
- magnetic resonance imaging
- end stage renal disease
- newly diagnosed
- venous thromboembolism
- ejection fraction
- high resolution
- drug induced
- computed tomography
- liver injury
- pregnant women
- mental health
- physical activity
- case report
- peritoneal dialysis
- early onset
- depressive symptoms
- machine learning
- spinal cord injury
- positron emission tomography
- smoking cessation
- stem cells
- risk factors
- spinal cord
- artificial intelligence
- endovascular treatment
- working memory
- image quality
- hypertensive patients
- contrast enhanced ultrasound