Iliopsoas hemorrhage (with background hemophilia)

Case contributed by Dr Maulik S Patel

Presentation

A known case of hemophilia presented with acute, non-traumatic onset of left hip anterior pain with flexion deformity for last 2 days.

Patient Data

Age: 20 years
Gender: Male

There is avascular, heterogeneous echo pattern area ( about 70 x 30 x 30 mm ) resulting in enlarged left iliopsoas in comparison to the asymptomatic right.  There is no effusion in the left hip joint.

Case Discussion

Ultrasound findings in a patient with a clinical background of hemophilia favor iliopsoas hematoma.

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