Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series
Chronic Kidney Disease (CKD) progression is associated with an increased risk of bleeding due to various reasons, some of which are iatrogenic. Bleeding at unusual sites, such as the iliopsoas muscle, is difficult to suspect as awareness about this condition is sparse, and the literature about the r...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18702/65860_CE[Ra1]_F(KR)_QC&Ref(KK_SS)_PF1(AG_SHU)_PFA_NC(KM)_PN(OM).pdf |
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| author | Prajwal Kishore Prashant G Kedlaya Anantharam Jairam Renuka Satish Shashank Dhareshwar |
| author_facet | Prajwal Kishore Prashant G Kedlaya Anantharam Jairam Renuka Satish Shashank Dhareshwar |
| author_sort | Prajwal Kishore |
| collection | DOAJ |
| description | Chronic Kidney Disease (CKD) progression is associated with an increased risk of bleeding due to various reasons, some of which are iatrogenic. Bleeding at unusual sites, such as the iliopsoas muscle, is difficult to suspect as awareness about this condition is sparse, and the literature about the reasons for this condition is unclear. Iliopsoas bleed continues to be an enigma, and herein,
the authors present a case series of three cases of spontaneous iliopsoas haematoma. The first case was a 64-year-old male with acute coronary syndrome and CKD on dual antiplatelet agents who had an iliopsoas bleed after dialysis. The second patient was a 51-year-old male with end-stage renal disease on Maintenance Haemodialysis (MHD) who bled into the iliopsoas after anticoagulation for Coronavirus Disease-2019 (COVID-19) related illness. The third patient was a 52-year-old female who had a Catheter-Related Bloodstream Infection (CRBSI) and Atrial Fibrillation (AF) requiring anticoagulation, and she developed an abdominal wall haematoma extending upto the iliopsoas. The authors highlighted the sudden occurrence, challenges in diagnosis and management of iliopsoas bleed in CKD, with a stress on the careful use of anticoagulation. |
| first_indexed | 2024-03-10T12:52:31Z |
| format | Article |
| id | doaj.art-bc86891c115c49be86fbb0fec3f77673 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-10T12:52:31Z |
| publishDate | 2023-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-bc86891c115c49be86fbb0fec3f776732023-11-21T12:10:00ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-11-011711101210.7860/JCDR/2023/65860.18702Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case SeriesPrajwal Kishore0Prashant G Kedlaya1Anantharam Jairam2Renuka Satish3Shashank Dhareshwar4Senior Resident, Department of Nephrology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India.Professor, Department of Nephrology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India.Professor, Department of Nephrology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India.Professor, Department of Nephrology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India.Assistant Professor, Department of Nephrology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India.Chronic Kidney Disease (CKD) progression is associated with an increased risk of bleeding due to various reasons, some of which are iatrogenic. Bleeding at unusual sites, such as the iliopsoas muscle, is difficult to suspect as awareness about this condition is sparse, and the literature about the reasons for this condition is unclear. Iliopsoas bleed continues to be an enigma, and herein, the authors present a case series of three cases of spontaneous iliopsoas haematoma. The first case was a 64-year-old male with acute coronary syndrome and CKD on dual antiplatelet agents who had an iliopsoas bleed after dialysis. The second patient was a 51-year-old male with end-stage renal disease on Maintenance Haemodialysis (MHD) who bled into the iliopsoas after anticoagulation for Coronavirus Disease-2019 (COVID-19) related illness. The third patient was a 52-year-old female who had a Catheter-Related Bloodstream Infection (CRBSI) and Atrial Fibrillation (AF) requiring anticoagulation, and she developed an abdominal wall haematoma extending upto the iliopsoas. The authors highlighted the sudden occurrence, challenges in diagnosis and management of iliopsoas bleed in CKD, with a stress on the careful use of anticoagulation.https://www.jcdr.net/articles/PDF/18702/65860_CE[Ra1]_F(KR)_QC&Ref(KK_SS)_PF1(AG_SHU)_PFA_NC(KM)_PN(OM).pdfanticoagulationapixabanbleedingchronic kidney diseaserenal replacement therapy |
| spellingShingle | Prajwal Kishore Prashant G Kedlaya Anantharam Jairam Renuka Satish Shashank Dhareshwar Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series Journal of Clinical and Diagnostic Research anticoagulation apixaban bleeding chronic kidney disease renal replacement therapy |
| title | Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series |
| title_full | Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series |
| title_fullStr | Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series |
| title_full_unstemmed | Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series |
| title_short | Spontaneous Iliopsoas Haematoma in Section Patients Undergoing Haemodialysis- An Enigma: A Case Series |
| title_sort | spontaneous iliopsoas haematoma in section patients undergoing haemodialysis an enigma a case series |
| topic | anticoagulation apixaban bleeding chronic kidney disease renal replacement therapy |
| url | https://www.jcdr.net/articles/PDF/18702/65860_CE[Ra1]_F(KR)_QC&Ref(KK_SS)_PF1(AG_SHU)_PFA_NC(KM)_PN(OM).pdf |
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