Hematoma Formation After Hip Corticosteroid Injection in a Patient with Chronic Myelomonocytic Leukemia: A Case Report

We present a 70-year-old woman with history of chronic myelomonocytic leukemia with a right thigh hematoma after a corticosteroid hip injection. Aspiration of the hematoma was attempted, but she developed a significant transfusion requirement with paresthesias in a lateral femoral cutaneous nerve di...

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Bibliographic Details
Published inJBJS case connector Vol. 12; no. 2
Main Authors Grisdela, Jr, Phillip T, Crawford, Alexander M, Evans, David C, von Keudell, Arvind G
Format Journal Article
LanguageEnglish
Published United States 01.04.2022
Subjects
Adrenal Cortex Hormones - adverse effects
Aged
Female
Hematoma - chemically induced
Hematoma - diagnostic imaging
Humans
Leukemia, Myelomonocytic, Chronic - complications
Leukemia, Myelomonocytic, Chronic - drug therapy
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Summary:We present a 70-year-old woman with history of chronic myelomonocytic leukemia with a right thigh hematoma after a corticosteroid hip injection. Aspiration of the hematoma was attempted, but she developed a significant transfusion requirement with paresthesias in a lateral femoral cutaneous nerve distribution, prompting transfer. Imaging demonstrated no active extravasation, and she was managed conservatively. At 8-month follow-up, she had a persistent consolidated hematoma on the right side, and she subsequently died of complications of her cancer. This case demonstrates an unusual complication from a common nonoperative modality, as well as important coagulopathies that must be considered in patients with leukemia.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.21.00806