Skip to main content
SpringerLink
Log in

Bilateral femoral nerve compression by iliacus hematomas complicating anticoagulant therapy

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

An unusual case of bilateral femoral nerve compression caused by iliacus hematomas in a patient on anti-coagulant therapy is herein reported with special reference to the comparative diagnostic value of ultrasonography, computerized tomorgraphy, and magnetic resonance imaging. The importance of early surgical decompression is also emphasized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fearn FDd'A (1968) Iliacus hematoma syndrome as a complication of anticoagulant therapy. BMJ 4:97–98

    Google Scholar 

  2. Cianci PE, Piscatelli RL (1969) Femoral neuropathy secondary to retroperitoneal hemorrhage. JAMA 210:1100–1101

    Google Scholar 

  3. Butterfield WC, Neviaser RJ, Roberts MD (1972) Femoral neuropathy and anticoagulants. Ann Surg 176:58–61

    Google Scholar 

  4. Spiegl PC, Meltzer JL (1974) Femoral nerve neuropathy secondary to anticoagulation. J Bone Joint Surg [Am] 56:425–427

    Google Scholar 

  5. Wells J, Templeton J (1977) Femoral neuropathy associated with anticoagulant therapy. Clin Orthop 124:155–160

    Google Scholar 

  6. Galzio R, Lucantoni D, Zenobii M, Cristuib-Grizzi L, Gadalera A, Caffagni E (1983) Femoral neuropathy caused by iliacus hematoma. Surg Neurol 20:254–257

    Google Scholar 

  7. Nielsen BF (1986) Haemorrhagic compression of the femoral nerve complicating anticoagulation therapy. Acta Chir Scand 152:695–696

    Google Scholar 

  8. Sigler L, Raut PS, Vollman RW (1970) Iliacus muscle hematoma: a Complication of heparin administration. Angiology 21:114–115

    Google Scholar 

  9. Willbank OL, Fuller CH (1973) Femoral neuropathy due to retroperitoneal bleeding: An unusual complication of heparin therapy. Ann Intern Med 132:83–86

    Google Scholar 

  10. Stern MB, Spiegel P (1975) Femoral neuropathy as a complication of heparin anticoagulant therapy. Clin Orthop 101:140–142

    Google Scholar 

  11. Hoyt TE, Tiwari R, Kusske JA (1983) Compressive neuropathy as a complication of anticoagulant therapy. Neurosurgery 12:268–271

    Google Scholar 

  12. Reinstein L, Alevizatos AC, Twardzik FG, DeMarco SJ (1984) Femoral nerve dysfunction after retroperitoneal hemorrhage: Pathophysiology revealed by computed tomography. Arch Phys Med Rehabil 65:37–40

    Google Scholar 

  13. Stewart-Wynne EG (1976) Iatrogenic femoral neuropathy. BMJ 1:263

    Google Scholar 

  14. Young MR, Norris JW (1976) Femoral neuropathy during anticoagulant therapy. Neurology 26:1173–1175

    Google Scholar 

  15. Storen EJ (1978) Bilateral iliacus haematoma with femoral nerve palsy complicating anticoagulant therapy. Acta Chir Scand 144:181–183

    Google Scholar 

  16. Bartonini F, Macucci M (1986) Simultaneous femoral nerve palsy due to hemorrhage in both iliac muscles. Ital J Neurol Sci 7:463–465

    Google Scholar 

  17. Mant MJ, O'Brien BD, Thong KL, Hammond GW, Birtwhistle RV, Grace MG (1977) Haemorrhagic complications of heparin therapy. Lancet I:1133–1135

    Google Scholar 

  18. Apter S, Hertz M, Rubinstein J, Morag B (1989) Femoral neuropathy: The role of computed tomography in diagnosis and management in 27 patients. Clin Radiol 40:30–34

    Google Scholar 

  19. Tysvaer AT (1982) Computerized tomography and surgical treatment of femoral compression neuropathy. J Neurosurg 57:137–139

    Google Scholar 

  20. Kettlekamp DB, Powers SR (1969) Femoral compression neuropathy in hemorrhagic disorders. Arch Surg 98:367–368

    Google Scholar 

  21. Kubacz GJ (1971) Femoral and sciatic compression neuropathy. Br J Surg 58:580–582

    Google Scholar 

  22. Goodfellow J, Fean CBd'A, Matthews JM (1967) Iliacus hematoma. J Bone Joint Surg [Br] 49:748–756

    Google Scholar 

  23. Mastroianni PP, Roberts MP (1983) Femoral neuropathy and retroperitoneal hemorrhage. Neurosurgery 13:44–47

    Google Scholar 

  24. Patten BM (1969) Neuropathy induced by hemorrhage. Arch Neurol 21:381–386

    Google Scholar 

  25. Brantigan JW, Owens ML, Moody FG (1976) Femoral neuropathy complicating anticoagulant therapy. Am J Surg 132:108–109

    Google Scholar 

  26. Holt RJ, Freytes CO (1983) Familial warfarin resistance. Drug Intell Clin Pharm 17:281–283

    Google Scholar 

  27. Alving BM, Strickler MP, Knight RD, Barr CF, Berenberg JL, Peck CC (1985) Hereditary warfarin resistance: Investigation of a rare phenomenon. Arch Intern Med 145:499–501

    Google Scholar 

  28. Walker FB IV (1984) Myocardial infarction after diet-induced warfarin resistance. Arch Intern Med 144:2089–2090

    Google Scholar 

  29. Howard PA, Hannaman KN (1985) Warfarin resistance linked to enteral nutrition products. J Am Diet Assoc 85:713–715

    Google Scholar 

  30. Qureshi GD, Reinders TP, Somori GJ, Evans HJ (1984) Warfarin resistance with nafcillin therapy. Ann Intern Med 100:527–529

    Google Scholar 

  31. Kearns PJ Jr, O'Reilly RA (1986) Bioavailability of warfarin in a patient with severe short bowel syndrome. J Parenter Enteral Nutr 10:100–101

    Google Scholar 

  32. Weinreb JC, Cohen JM, Maravilla KR (1985) Iliopsoas muscles: MR study of normal anatomy and disease. Radiology 156:435–440

    Google Scholar 

  33. Sagel SS, Siegel MJ, Stanley RJ, Jost RG (1977) Detection of retroperitoneal hemorrhage by computed tomography. AJR 129:403–407

    Google Scholar 

  34. Simeone JF, Robinson F, Rothman SLG, Jaffe CC (1977) Computerized tomographic demonstration of a retroperitoneal hematoma causing femoral neuropathy. J Neurosurg 47:946–948

    Google Scholar 

  35. Feldberg MAM, Koehler PR, Van Waes PFGM (1983) Psoas compartment disease studied by computed tomography. Radiology 148:505–512

    Google Scholar 

  36. Shirkoda A, Mauro MA, Staab EV, Blatt PM (1983) Soft-tissue hemorrhage in hemophiliac patients. Radiology 147:811–814

    Google Scholar 

  37. Lee JKT, Glazer HS (1986) Psoas muscle disorders: MR imaging. Radiology 160:683–687

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Neurosurgery, College of Medicine, King Saud University, PO Box 2925, 11461, Riyadh, Saudi Arabia

    Zain Alabedeen B. Jamjoom

  2. Division of General Surgery, College of Medicine, King Saud University, PO Box 2925, 11461, Riyadh, Saudi Arabia

    Abdulkarim Al-Bakry

  3. Division of Hematology, College of Medicine, King Saud University, PO Box 2925, 11461, Riyadh, Saudi Arabia

    Abdulkarim Al-Momen

  4. Division of Radiology, College of Medicine, King Saud University, PO Box 2925, 11461, Riyadh, Saudi Arabia

    Tajuddin Malabary

  5. Division of Neurology, College of Medicine, King Saud University, PO Box 2925, 11461, Riyadh, Saudi Arabia

    Abdul-Rahman Tahan & Basim Yacub

Authors
  1. Zain Alabedeen B. Jamjoom
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Abdulkarim Al-Bakry
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Abdulkarim Al-Momen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tajuddin Malabary
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Abdul-Rahman Tahan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Basim Yacub
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jamjoom, Z.A.B., Al-Bakry, A., Al-Momen, A. et al. Bilateral femoral nerve compression by iliacus hematomas complicating anticoagulant therapy. Surg Today 23, 535–540 (1993). https://doi.org/10.1007/BF00730631

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00730631

Key Words

Search

Navigation