Subscapularis hematoma

Case contributed by Dr Mais Ghassan Zmaily

Presentation

Right shoulder pain and stiffness of 2 days duration, on therapeutic anticoagulation for portal vein thrombosis.

Patient Data

Age: 65 years
Gender: Male
CT

There is a large heterogenous intramuscular hematoma seen surrounding the right scapula, more prominently surrounding the right subscapularis muscle. It is associated with surrounding fatstranding,, measuring approximately 7 x 11 x 12 cm.

Case Discussion

This is a case of subscapularis hematoma in a patient with a known background of renal cell carcinoma. They were admitted 10 days ago and found to have a non-occlusive portal vein thrombosis upon investigation for biliary obstruction. Accordingly, they had an ERCP and was started on Enoxaparin sodium, and then visited the emergency department complaining of right shoulder pain and stiffness, with no history of any recent trauma.

Acknowledgements: Zaid Al-Omari, M.D, KHCC.

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Case information

rID: 57349
Published: 21st Dec 2017
Last edited: 21st Dec 2017
Inclusion in quiz mode: Included

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