International Journal of Advanced Multidisciplinary Research and Studies
Volume 5, Issue 1, 2025
Psoas Hematoma in a Child: Experience in a Tertiary Care Hospital
Author(s): Dr. Sangeeta Tripathy
DOI: https://doi.org/10.62225/2583049X.2025.5.1.3615
Abstract:
Psoas hematoma presents with nonspecific symptoms. It is rare and usually occurs as a result of trauma, hematologic disease, during lumbar surgery often iatrogenic, rupture of aortic aneurysm etc. The incidence of spontaneous Psoas muscle hematoma has slowly increased as a result of anticoagulation use and use of antiplatelet agents. Is can present with non specific symptoms such as pain in abdomen, back and groin, or swelling, anemia, hemo dynamical instability and even leg paresis.
CT Scan is the most important diagnostic test for rapid diagnosis of hematoma. CT Scan immediately diagnose the disease and thus helps in initiating early treatment. MRI is more sensitive than any other diagnostic modes but not easily available, expensive and with other restrictions for imaging.
Psoas hematoma is easily overlooked disease especially in elderly patients. It often present atypically in elderly due to unusual presentation, comorbidity and cognitive impairment. Most hematomas resolve spontaneously without clinical complications if the hematoma is small and not compressing the surrounding important structures.
Keywords: Pediatric Patient, Psoas Hematoma, Hematologic Diseases, CT Scan
Pages: 44-47
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