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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...

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Autores principales: Battaglia, Riccardo, Cerasa, Antonio, Pugliese, Maria Elena, Lucca, Lucia Francesca, Tonin, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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