Femoral Neuropathy Secondary to Iliacus Hematoma - A Case Report -

Hwa-Yeop Na; Jun-Cheol Choi; Dae-Hyeon Kim; Kang-Won Seo; Nam-Ik Cho

doi:10.5371/hp.2012.24.3.261

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Na, Choi, Kim, Seo, and Cho: Femoral Neuropathy Secondary to Iliacus Hematoma - A Case Report -

Case Report

Hip & Pelvis

Hip & Pelvis 2012; 24(3): 261-264.

Published online: 30 September 2012

DOI: https://doi.org/10.5371/hp.2012.24.3.261

Femoral Neuropathy Secondary to Iliacus Hematoma - A Case Report -

Hwa-Yeop Na, MD, Jun-Cheol Choi, MD, Dae-Hyeon Kim, MD, Kang-Won Seo, MD, Nam-Ik Cho, MD

Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

Address reprint request to Jun-Cheol Choi, MD. Department of Orthopaedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, 255-2 Seohyun-dong, Bundang-gu, Seongnam 463-050, Korea. TEL: +82-31-779-0175, FAX: +82-31-779-0179, cjc@dmc.or.kr

Received 20 April 2012 Revised 6 September 2012 Accepted 12 September 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 17-year-old male patient complained of acutely developed severe paresthesia, pain, and weakness of the right lower extremity. He fell to the ground during performance of hand-stand physical exercise. Despite administration of conservative treatment for two weeks in a private clinic, motor function of the hip flexor and knee extensor were measured as poor grade. EMG showed femoral nerve and lateral femoral cutaneous nerve injury. Findings on MRI and CT revealed a mass measuring 8×5×7 cm in the iliac fossa.

After evacuation of the hematoma(400 cc), neurologic dysfunction and thigh circumference were fully recovered, compared with the contralateral side, after one and half year follow up. This condition rarely occurs in individuals without coagulopathy. We reported on a rare case of iliacus hematoma and femoral neuropathy treated by surgical decompression in a patient with no coagulopathy.

Keywords: Iliacus muscle, Hematoma, Femoral neuropathy

Figures and Tables

Fig. 1

Computed tomography demonstrates a large right iliacus hematoma (arrow).

Fig. 2

Pelvis MRI shows an iliacus hematoma compressing the right psoas muscle. And well-capsulated iliacus hematoma includes a clotting nucleus (arrow).

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