[Spontaneous hematoma of the iliac psoas muscle in chronic myeloid leukemia. A case report].

Annales de medecine interne Pub Date : 2003-05-01
Olivier Bauduceau, Thierry De Revel, Jacques Fogelman, Sabo Amadou, Bertrand Souleau, Gérard Nedellec
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Abstract

Spontaneous hematoma in the ilio-psoas muscle is an uncommon condition, usually observed as a complication of anticoagulation or hemophilia. Clinically, the onset is marked by violent pain in the territory of femoral nerve and/or psoitis. The diagnosis is confirmed by echography or CT-scan. The most serious complications are loss of self-sufficiency and neuro-muscular after-effect. Surgery is recommended in patients with neurological suffering, followed by early physiotherapy. We report the case of a 42-year-old man, with an ilio-psoas muscle hematoma, revealing chronic myeloid leukemia, without any hemostasis disorder.

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慢性髓系白血病并发髂腰肌自发性血肿。[病例报告]。
髂腰肌自发性血肿是一种罕见的疾病,通常是抗凝或血友病的并发症。临床表现为股神经区域剧烈疼痛和/或腰肌炎。诊断可通过超声或ct扫描证实。最严重的并发症是自给能力丧失和神经肌肉后遗症。对于有神经系统疾病的患者,建议进行外科手术,然后进行早期物理治疗。我们报告一例42岁男性,髂腰肌血肿,显示慢性髓性白血病,没有任何止血障碍。
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