Рентгенология & Радиология, 2018, LVII 31-38

Radiology imaging of the spontaneous iliopsoas Hematomas

  1. Panova, G. Kirova-Nedyalkova, G. Adam

Abstract.

The iliopsoas muscle is one of the largest and strongest hip flexors with a significant role in walking, maintaining the upright body position and stabilization of the pelvis. Hemorrhage within its structure often results in disrupted muscle function and could lead to hemodynamic instability, thus being a matter of urgency. Despite its dramatic clinical manifestation, invasive treatment is not usually mandatory and could potentially worsen the prognosis. This article presents the specific clinical and radiological characteristics of IPH (Iliopsoas Hematoma) based on medical and imaging data of eleven patients. Occurrence of IPH in  relation to anticoagulation therapy and some micro-invasive procedures was accessed and discussed. IPH occur rather rarely; however, being familiar with the variants of their radiological features is crucial for accurate diagnosis, proper treatment and prevention of unnecessary complications.

Key words: HEMATOMA. ILIOPSOAS. RETROPERITONEUM. ANTICOAGULANTS. COAGULOPATHY