Abstract
Iliopsoas hematoma is a rare post-traumatic event. While the optimal treatment modalities for this lesion remain unclear owing to its rarity, an early diagnosis may be associated with better outcomes. However, the diagnosis is complicated by a large number of differential diagnoses. We herein report a case of iliopsoas hematoma that was not initially suspected because the patient had paraplegia. During treatment for sacral pressure ulcer, the patient developed sudden swelling and redness in the proximal left thigh. Therefore, an iliopsoas abscess was suspected. However, during surgery, a hematoma was found and drained. A negative bacterial culture of the contents confirmed that it was an iliopsoas hematoma. Plastic surgeons should be aware that such conditions can occur in patients with spinal cord injury, since such patients will not present with compressive symptoms of iliopsoas hematoma.
(Left) CT revealed swelling of the muscle with contrast effect from the iliacus muscle to the hip joint (red ellipse). (Right) Spread of inflammation under the skin was seen on the left thigh. CT: computed tomography
