open access

Vol 4, No 3 (2019)
CASE REPORT
Published online: 2019-10-08
Get Citation

Ultrasound use of post-traumatic gluteal haematoma in a patient using warfarin

Fatih Demir, Gülden Kazancı, Jacek Smereka, Damian Gorczyca
DOI: 10.5603/DEMJ.2019.0023
·
Disaster Emerg Med J 2019;4(3):124-127.

open access

Vol 4, No 3 (2019)
CASE REPORT
Published online: 2019-10-08

Abstract

Most of the muscle pathologies consist of traumas. The use of oral anticoagulants increases post-traumatic bleeding and haematoma risk. Ultrasonography has an important place in diagnostic examination of the soft tissue haematomas that appear in post-traumatic period. In this study a patient is presented who used warfarin and was admitted at the emergency department with hip pain and difficulty in walking, and who had gluteal haematoma on ultrasound after falling down. Hip pains in patients using warfarin must be alarming in terms of gluteal haematoma. Ultrasound offers fast and reliable results in preventing complications.

Abstract

Most of the muscle pathologies consist of traumas. The use of oral anticoagulants increases post-traumatic bleeding and haematoma risk. Ultrasonography has an important place in diagnostic examination of the soft tissue haematomas that appear in post-traumatic period. In this study a patient is presented who used warfarin and was admitted at the emergency department with hip pain and difficulty in walking, and who had gluteal haematoma on ultrasound after falling down. Hip pains in patients using warfarin must be alarming in terms of gluteal haematoma. Ultrasound offers fast and reliable results in preventing complications.

Get Citation

Keywords

haematoma; trauma; gluteal muscle; warfarin; ultrasound

About this article
Title

Ultrasound use of post-traumatic gluteal haematoma in a patient using warfarin

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 4, No 3 (2019)

Pages

124-127

Published online

2019-10-08

DOI

10.5603/DEMJ.2019.0023

Bibliographic record

Disaster Emerg Med J 2019;4(3):124-127.

Keywords

haematoma
trauma
gluteal muscle
warfarin
ultrasound

Authors

Fatih Demir
Gülden Kazancı
Jacek Smereka
Damian Gorczyca

References (21)
  1. Petrik M, Stambough J, Rothman R. Posttraumatic Gluteal Compartment Syndrome. Clinical Orthopaedics and Related Research. 1988(231): 127–129.
  2. Barnes MR, Harper WM, Tomson C, et al. Gluteal compartment syndrome following drug overdose. Injury. 1992; 23(4): 274–275.
  3. Schmalzried T, Eckardt J. Spontaneous Gluteal Artery Rupture Resulting in Compartment Syndrome and Sciatic Neuropathy. Clinical Orthopaedics and Related Research. 1992(275): 253–257.
  4. Kumar V, Saeed K, Panagopoulos A, et al. Gluteal compartment syndrome following joint arthroplasty under epidural anaesthesia: a report of 4 cases. J Orthop Surg (Hong Kong). 2007; 15(1): 113–117.
  5. Brumback RJ. Traumatic rupture of the superior gluteal artery, without fracture of the pelvis, causing compartment syndrome of the buttock. A case report. The Journal of Bone & Joint Surgery. 1990; 72(1): 134–137.
  6. Bakan B, Garipardıç M, Özkan F, et al. Soft Tissue Bleeding in a Patient With Hemophlia A: a case report. Turk J Phys Med Rehab. 2012; 58: 249–251.
  7. Smith A, Chitre V, Deo H. Acute gluteal compartment syndrome: superior gluteal artery rupture following a low energy injury. BMJ Case Rep. 2012; 2012.
  8. Ellis M, Frank HG. Myositis ossificans traumatica: with special reference to the quadriceps femoris muscle. J Trauma. 1966; 6(6): 724–738.
  9. Ma J, Mateer J, Blaivas M. Emergency ultrasound. McGraw-Hill, New York 2007.
  10. Gabbett TJ. Incidence, site, and nature of injuries in amateur rugby league over three consecutive seasons. Br J Sports Med. 2000; 34(2): 98–103.
  11. Demir M, Demir T, Yaylaci S, et al. Spontaneous abdominal hemorrhage due to warfarin treatment. CHRISMED Journal of Health and Research. 2016; 3(4): 298.
  12. Uzunget SC, Evrin T, Uzunget SB, et al. Evaluation of activated charcoal and lipid emulsion treatment in model of acute rivaroxaban toxicity. Am J Emerg Med. 2018; 36(8): 1346–1349.
  13. Liu W, Wang D, Ouyang H, et al. Ultrasound Assessment of Muscle Injury Associated with Closed Limb Fracture. Biomed Res Int. 2019; 2019: 9365291.
  14. Sun Fu, Yuan QL, Zhang YG. Large Buttocks Hematoma Caused by Deep Tissue Massage Therapy. Pain Med. 2015; 16(7): 1445–1447.
  15. Buselli P, Coco V, Notarnicola A, et al. Shock waves in the treatment of post-traumatic myositis ossificans. Ultrasound Med Biol. 2010; 36(3): 397–409.
  16. Taylor BC, Dimitris C, Tancevski A, et al. Gluteal compartment syndrome and superior gluteal artery injury as a result of simple hip dislocation: a case report. The Iowa Orthopaedic Journal. 2011; 31: 181–186.
  17. Tol JL, Hamilton B, Best TM. Palpating muscles, massaging the evidence? An editorial relating to 'Terminology and classification of muscle injuries in sport: The Munich consensus statement'. Br J Sports Med. 2013; 47(6): 340–341.
  18. Thorsson O, Lilja B, Nilsson P, et al. Immediate external compression in the management of an acute muscle injury. Scand J Med Sci Sports. 1997; 7(3): 182–190.
  19. Lee JC, Healy J. Sonography of lower limb muscle injury. AJR Am J Roentgenol. 2004; 182(2): 341–351.
  20. Situ-LaCasse E, Grieger RW, Crabbe S, et al. Utility of point-of-care musculoskeletal ultrasound in the evaluation of emergency department musculoskeletal pathology. World J Emerg Med. 2018; 9(4): 262–266.
  21. Del Cura JL, Zabala R, Corta I. [Ultrasound-guided interventional procedures in the musculoskeletal system]. Radiologia. 2010; 52(6): 525–533.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl