Cardiovasc Imaging Asia.  2018 Jul;2(3):150-151. 10.22468/cvia.2018.00087.

An Elderly Man with Heart Failure and Groin Pain: The Importance of the Psoas Sign and Advanced Imaging

• Koza Y
• Taş H
• Özkoç M

• KMID: 2524876
• DOI: http://doi.org/10.22468/cvia.2018.00087

Abstract

Iliopsoas hematoma (IPH) is a rare and potentially life-threatening illness. The clinical symptoms can be non-specific hip, groin, or back pain with no external evidence of mass on examination and can be overlooked as musculoskeletal pain. Early diagnosis is important because early treatment results in better recovery and fewer complications. Contrast-enhanced computed tomography is the most sensitive method for confirmation of hematoma. We are reporting a case of IPH accompanied by severe hemorrhagic shock.

Keyword

Heart failure; Hematoma; Anticoagulants; Musculoskeletal pain