Bilateral recurrent external obturator muscle hematoma: An unusual cause of pelvic pain in hemophilia
- Authors:
- Taner Arpaci
- Ilgen Sasmaz
- Tugana Akbas
- Alper Eken
- Anil Ozgur
- Bulent Antmen
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Affiliations: Department of Radiology, Acibadem Adana Hospital, Acibadem University, 01130 Adana, Turkey, Department of Pediatric Haematology, Cukurova University, 01330 Adana, Turkey, Department of Urology, Acibadem Adana Hospital, Acibadem University, 01130 Adana, Turkey, Department of Radiology, Mersin University, 33110 Mersin, Turkey, Department of Pediatric Haematology, Acibadem Adana Hospital, 01130 Adana, Turkey
- Published online on: January 22, 2016 https://doi.org/10.3892/mco.2016.736
-
Pages:
622-624
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Abstract
Following joint hemorrhages, intramuscular hemorrhages are the second most prevalent bleeding pattern in hemophiliac patients. hematomas of the iliopsoas muscle are a well‑known complication of hemophilia; however, obturator muscle hematomas are rare. We herein report a case of spontaneous bleeding of the bilateral external obturator muscles, which occured three times within a period of 9 months in a hemophilia patient with factor VIII inhibitors. To the best of our knowledge, this is the first published case of an obturator externus muscle hematoma in hemophilia. In addition to hip hemarthrosis, iliopsoas hematomas and acute appendicitis, obturator muscle hematoma should be considered as one of the diagnostic alternatives for pelvic pain in hemophiliaψ patients. Magnetic resonance imaging enables rapid diagnosis of obturator muscle hematoma.
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