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Atraumatic psoas hematoma

Case contributed by Dr Bruno Di Muzio ◈

Diagnosis certain

Diagnosis certain

Presentation

Chronic use of acetylsalicylic. No trauma history.

Patient Data

Age: 81

Gender: Male

From the case: Atraumatic psoas hematoma

CT

CT Abdomen

Axial non-contrast

Hyperattenuating lesion extending the left psoas muscle, consistent with hematoma.

From the case: Atraumatic psoas hematoma

CT

CT Abdomen (1 month later)

Axial non-contrast

About a month later persists heterogeneous and encapsulated collection inside the left psoas muscle. Patient presents infectious set.

From the case: Atraumatic psoas hematoma

CT

CT Abdomen - Post percutaneous abscess drainage

non-contrast

After case discussion with infectology staff we chosen to drain the collection percutaneously. Procedure performed with ultrasound guidance and patient in the left lateral position, given his inability to stay in ventral recumbency.

1 article features images from this case

Psoas hematoma

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