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Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study
Iliacus muscle hematoma is a very rare condition in rehabilitation wards. A 35-year-old pregnant woman at seven months with cerebellar hematoma with signs of compression underwent a cesarean procedure together with neurosurgical decompression of the posterior cranial fossa procedure. After a period...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872004/ https://www.ncbi.nlm.nih.gov/pubmed/35206911 http://dx.doi.org/10.3390/healthcare10020297 |
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author | Battaglia, Riccardo Cerasa, Antonio Pugliese, Maria Elena Lucca, Lucia Francesca Tonin, Paolo |
author_facet | Battaglia, Riccardo Cerasa, Antonio Pugliese, Maria Elena Lucca, Lucia Francesca Tonin, Paolo |
author_sort | Battaglia, Riccardo |
collection | PubMed |
description | Iliacus muscle hematoma is a very rare condition in rehabilitation wards. A 35-year-old pregnant woman at seven months with cerebellar hematoma with signs of compression underwent a cesarean procedure together with neurosurgical decompression of the posterior cranial fossa procedure. After a period in an intensive unit without any complications, she was admitted to our neurorehabilitation ward and treated with antihypertensive therapy, heparin, and anti-seizure drugs. During a rehabilitation session, after a bed–wheelchair transfer, she was feeling very unwell suffering from severe right leg pain radiating to the mid-face leg. Despite unremarkable physical evidence (skin appearance, temperature, and peripheral arterial pulse in both legs), imaging data (ultrasound, CT, and MRI) confirmed the presence of a right iliac muscle hematoma (IMH). Enoxaparin was immediately stopped, and bed rest was prescribed in an antalgic position with tramadole acetaminophen for pain control. After a few days, the patient felt well and was discharged without any additional symptoms. Our study demonstrates that, when a sudden severe leg pain develops, IMH should be considered in the differential diagnosis. This finding suggests further research and tailored protocols for rehabilitation in patients at high risk for iliacus muscle hematoma. |
format | Online Article Text |
id | pubmed-8872004 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88720042022-02-25 Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study Battaglia, Riccardo Cerasa, Antonio Pugliese, Maria Elena Lucca, Lucia Francesca Tonin, Paolo Healthcare (Basel) Case Report Iliacus muscle hematoma is a very rare condition in rehabilitation wards. A 35-year-old pregnant woman at seven months with cerebellar hematoma with signs of compression underwent a cesarean procedure together with neurosurgical decompression of the posterior cranial fossa procedure. After a period in an intensive unit without any complications, she was admitted to our neurorehabilitation ward and treated with antihypertensive therapy, heparin, and anti-seizure drugs. During a rehabilitation session, after a bed–wheelchair transfer, she was feeling very unwell suffering from severe right leg pain radiating to the mid-face leg. Despite unremarkable physical evidence (skin appearance, temperature, and peripheral arterial pulse in both legs), imaging data (ultrasound, CT, and MRI) confirmed the presence of a right iliac muscle hematoma (IMH). Enoxaparin was immediately stopped, and bed rest was prescribed in an antalgic position with tramadole acetaminophen for pain control. After a few days, the patient felt well and was discharged without any additional symptoms. Our study demonstrates that, when a sudden severe leg pain develops, IMH should be considered in the differential diagnosis. This finding suggests further research and tailored protocols for rehabilitation in patients at high risk for iliacus muscle hematoma. MDPI 2022-02-03 /pmc/articles/PMC8872004/ /pubmed/35206911 http://dx.doi.org/10.3390/healthcare10020297 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Battaglia, Riccardo Cerasa, Antonio Pugliese, Maria Elena Lucca, Lucia Francesca Tonin, Paolo Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study |
title | Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study |
title_full | Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study |
title_fullStr | Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study |
title_full_unstemmed | Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study |
title_short | Iliacus Muscle Hematoma an Uncommon Complication in a Rehabilitation Unit: A Case Report Study |
title_sort | iliacus muscle hematoma an uncommon complication in a rehabilitation unit: a case report study |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872004/ https://www.ncbi.nlm.nih.gov/pubmed/35206911 http://dx.doi.org/10.3390/healthcare10020297 |
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