ABSTRACT

Iliopsoas hematoma is localized collection of blood outside the vessels in the iliopsoas muscle, it can be due to trauma or any other pathology, Here we present a rare case of Iliopsoas hematoma of 56 year old male who arrived at the emergency room with complaints of acute pain and progressive swelling in the left thigh and left iliac fossa region and unable to walk. The patient has a history of left ventricular failure with IHD and was using warfarin 10 mg for the last 6 months. Patient was vitally stable with complete functional deficit of all muscles dependent on the left lumbar plexus and his Coagulation profile was deranged. Ultrasound showed a thick fluid collection, which was Psoas hematoma and confirmed on Computed tomography of the pelvis. Warfarin was stopped immediately, conservative management was continued. Although it is a very rare case, still it should be kept in mind with differentials of iliac fossa pain in patient on warfarin therapy.

Keywords:  Iliopsoas hematoma, Warfarin, Drug adverse effect, Anticoagulation complication

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