Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer.
Jeffrey D MarkeyA Sean AlemiMargaret L NaunheimDaniel L FadenChase M HeatonRahul SethPublished in: Case reports in otolaryngology (2017)
Spontaneous hematoma within the iliopsoas muscle (SIH) is a rare complication most commonly seen in coagulopathic patients. Often, patients undergoing microvascular free tissue transfer are anticoagulated for anastomotic patency. Here we describe two cases of postoperative SIH following contralateral anterolateral thigh (ALT) free tissue transfer for reconstruction of oncologic head and neck defects. Both patients described hip pain after mobilization and had a corresponding acute blood loss anemia. Diagnosis of SIH was confirmed by CT and both patients were managed conservatively. Given that anticoagulation is a common practice following head and neck free tissue transfer, surgeons should be aware of this potential complication.
Keyphrases
- end stage renal disease
- chronic kidney disease
- patients undergoing
- ejection fraction
- newly diagnosed
- prognostic factors
- computed tomography
- primary care
- healthcare
- magnetic resonance imaging
- intensive care unit
- liver failure
- spinal cord injury
- risk assessment
- chronic pain
- atrial fibrillation
- venous thromboembolism
- minimally invasive
- respiratory failure
- electron transfer
- iron deficiency