Atraumatic psoas hematoma

Case contributed by Dr Bruno Di Muzio

Presentation

Chronic use of acetylsalicylic. No trauma history.

Patient Data

Age: 81
Gender: Male
CT

CT Abdomen

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

CT

CT Abdomen (1 month later)

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

CT

CT Abdomen - Post percutaneous abscess drainage

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.

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Case information

rID: 20457
Published: 20th Nov 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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