Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Mar 7;12(3):e8654.
doi: 10.1002/ccr3.8654. eCollection 2024 Mar.

Iliacus hematoma causing late femoral nerve palsy

Fırat Al  1 , Muhammed Köroglu  1 , Hüseyin Utku Özdeş  2 , Okan Aslantürk  1
Affiliations
Case Reports

Iliacus hematoma causing late femoral nerve palsy

Fırat Al et al. Clin Case Rep. .

Abstract

Femoral nerve palsy is rare and may progress insidiously, leading to late clinical presentation. Identifying the underlying cause is very important for treatment. An iliacus hematoma causing nerve palsy is perhaps the most innocent etiology. However, this hematoma sometimes causes only abdominal pain and may even be misdiagnosed as a late intra-abdominal pathology.

Keywords: decompression; femoral nerve; hematoma; iliacus muscle.

PubMed Disclaimer

Conflict of interest statement

The authors declared no conflicts of interest concerning the authorship and/or publication of this article. Funding: The authors received no financial support for the research and/or authorship of this article.

Figures

FIGURE 1
FIGURE 1
Hematoma causing femoral nerve palsy within the right iliacus muscle (red arrow), normal left iliacus muscle (blue arrow).
FIGURE 2
FIGURE 2
Preoperative thigh diameter difference (A), postoperative one‐month knee extension deficiency (B), and six‐month follow‐up full knee extension (C) and no thigh diameter difference (D).
See this image and copyright information in PMC

References

    1. Kong WK, Cho KT, Lee HJ, Choi JS. Femoral neuropathy due to Iliacus muscle hematoma in a patient on warfarin therapy. J Korean Neurosurg Soc. 2012;51(1):51‐53. doi: 10.3340/jkns.2012.51.1.51 - DOI - PMC - PubMed
    1. Sasson Z, Mangat I, Peckham KA. Spontaneous iliopsoas hematoma in patients with unstable coronary syndromes receiving intravenous heparin in therapeutic doses. Can J Cardiol. 1996;12(5):490‐494. - PubMed
    1. Ho KJ, Gawley SD, Young MR. Psoas haematoma and femoral neuropathy associated with enoxaparin therapy. Int J Clin Pract. 2003;57(6):553‐554. - PubMed
    1. Balkan C, Kavakli K, Karapinar D. Iliopsoas haemorrhage in patients with haemophilia: results from one centre. Haemophilia. 2005;11(5):463‐467. doi: 10.1111/j.1365-2516.2005.01123 - DOI - PubMed
    1. Katz SG, Nelson IW, Atkins RM, Duthie RB. Peripheral nerve lesions in hemophilia. J Bone Joint Surg Am. 1991;73(7):1016‐1019. - PubMed

Publication types

LinkOut - more resources