Abstract
A case of intragluteal hematoma that presented with symptoms similar to sciatic neuralgia is described. The patient was a 67-years-old male who developed pain in the left gluteal region after injection at this site and developed dysbasia. Angiography, plain CT, contrast-enhanced CT, and MRI suggested a tumor in the soft tissue, and the lesion was surgically resected. Pathological examination showed that the lesion was a hematoma.
Intramuscular hematoma is caused by trauma or bleeding tendancy. This patient had no history of trauma, and no abnormalities were observed by postoperative blood coagulation tests. Therefore the gluteal hematoma in this case was considered to have been caused by the intramuscular injection.