Journal of

Case Reports and Images in Orthopedics and Rheumatology

 
     
Case Report
 
Retroperitoneal hematoma presenting as acute meralgia paresthetica: Case report, review of literature and cadaveric demonstration
Jibanananda Satpathy1, Varatharaj Mounasamy2, Gregory Golladay3, James Phillip Reynolds4
1MD, Assistant Professor, Orthopedic Surgery, Virginia Commonwealth University, Richmond, VA, United States.
2MD, Associate Professor, Director of Orthopedic Trauma, Virginia Commonwealth University, Richmond, VA, United States.
3MD, Associate Professor, Orthopedic Surgery, Virginia Commonwealth University, Richmond, VA, United States.
4BS, Medical Student, Virginia Commonwealth University, Richmond, VA, United States.

Article ID: 100002Z14JS2016
doi:10.5348/Z14-2016-2-CR-2

Address correspondence to:
Jibanananda Satpathy
417 North 11th Street
Richmond, Virginia
United States, 23298

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How to cite this article:
Satpathy J, Mounasamy V, Golladay G, Reynolds JP. Retroperitoneal hematoma presenting as acute meralgia paresthetica: Case report, review of literature and cadaveric demonstration. J Case Rep Images Orthop Rheum 2016;1:6–11.


Abstract
Introduction: Spontaneous retroperitoneal hematoma is a relatively rare condition that usually occurs in patients receiving anticoagulation therapy or those with a history of hemophilia. The presentation may vary from mild abdominal discomfort to acute hemodynamic collapse. Given the potential for exsanguination, it is important to detect this potentially life-threatening condition early for appropriate management.
Case Report: In this report, we discuss an uncommon presentation of a retroperitoneal hematoma in which the patient initially sought treatment for thigh and ankle pain related to a recent minor trauma. During the course of her evaluation over several days, a diagnosis of acute meralgia paresthetica was entertained and treated with relief of her symptoms. However, an evolving retroperitoneal hematoma was subsequently identified as the cause of her condition.
Conclusion: Physicians should be aware of this seemingly benign presentation of a life-threatening retroperitoneal hematoma to avoid delays in diagnosis and treatment as described in this report.

Keywords: Iliopsoas hematoma, Meralgia Paresthetica, Retroperitoneal


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Author Contributions
Jibanananda Satpathy – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mounasamy, Varatharaj – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gregory Golladay – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
James Reynolds – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Jibanananda Satpathy et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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