Iliopsoas hematoma

Case contributed by Dr Maulik S Patel


Complaining of right sided back pain, right lower abdominal pain, and an inability to extend his right hip joint for two days.

Patient Data

Age: 25 years
Gender: Male

Referred for USG of abdomen and pelvis with suspected renal colic.

There is diffuse enlargement of right iliacus and psoas muscles. There is a collection with echoes involving the right iliacus muscle measuring 70 x 25 x 15 mm. There are 2-3 smaller collections  (10-15 mm) involving the right psoas muscle in the lower abdomen. There is a rim of fluid along the anterior aspect of right psoas muscle in its cranial part.  There is a rim of fluid along the posterior aspect of right psoas muscle in iliac fossa region.

There was no renal calculus / hydronephrosis / hydroureter on the right side.

Case Discussion

Findings suggest an iliopsoas hematoma in a patient with a known history of a bleeding disorder.

History of continuous back pain with inability to extend the right hip joint along with the absence of hematuria/dysuria were against suspected renal colic.

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Case information

rID: 48727
Published: 21st Oct 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included