Vol 4, No 3 (2019)
Case report
Published online: 2019-10-08

open access

Page views 996
Article views/downloads 1021
Get Citation

Connect on Social Media

Connect on Social Media

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

Fatih Demir1, Gülden Kazancı2, Jacek Smereka3, Damian Gorczyca4
Disaster Emerg Med J 2019;4(3):124-127.


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.

Article available in PDF format

View PDF Download PDF file


  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.

Disaster and Emergency Medicine Journal