Ultrasound-Guided Thrombin Injection for Iliopsoas Pseudoaneurysm

Abstract Bilateral iliopsoas hematoma is an uncommon phenomenon, which has been described in individuals receiving anticoagulation therapy. The hematoma is caused by bleeding of arteries to the muscle. In rare cases, pseudoaneurysms can also be formed. We present a case of an adolescent, with partia...

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Bibliographic Details
Published inJournal of pediatric intensive care Vol. 8; no. 3; pp. 187 - 190
Main Authors Weissmann, Jonathan, Griton, Yigal, Mahajna, Shadi, Ajaj, Moanis, Fajer, Simone
Format Journal Article
LanguageEnglish
Published Stuttgart · New York Georg Thieme Verlag KG 01.09.2019
Subjects
Case Report
adolescent
iliopsoas hematoma
thrombin
factor XI deficiency
pseudoaneurysm
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Summary:Abstract Bilateral iliopsoas hematoma is an uncommon phenomenon, which has been described in individuals receiving anticoagulation therapy. The hematoma is caused by bleeding of arteries to the muscle. In rare cases, pseudoaneurysms can also be formed. We present a case of an adolescent, with partial factor XI deficiency, who experienced a mild fall. Imaging studies revealed large bilateral iliopsoas hematomas and bilateral iliopsoas pseudoaneurysms. One pseudoaneurysm was demonstrated by angiography and was embolized with micro coils. The second, more persistent one, was sealed via ultrasound-guided thrombin injection, with excellent morphological and clinical results.
ISSN:2146-4618
2146-4626
DOI:10.1055/s-0039-1683385