Spontaneous psoas hematoma in a case of acute myocardial infarction following streptokinase infusion
| Autor: | Sai C. Vijay, V. Avanthi, B. Kumar, B. Sunil Abhishek |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty RD1-811 medicine.medical_treatment Streptokinase Case Report Acute myocardial infarction 030204 cardiovascular system & hematology Angina 03 medical and health sciences Electrocardiography 0302 clinical medicine Hematoma Fibrinolytic Agents medicine Diseases of the circulatory (Cardiovascular) system Humans Thrombolytic Therapy 030212 general & internal medicine Myocardial infarction cardiovascular diseases Infusions Intravenous Psoas Muscles Groin business.industry Spontaneous Thrombolysis Bleed Middle Aged medicine.disease Surgery medicine.anatomical_structure RC666-701 Abdomen ST Elevation Myocardial Infarction business Cardiology and Cardiovascular Medicine Tomography X-Ray Computed Psoas medicine.drug |
| Zdroj: | Indian Heart Journal, Vol 68, Iss S2, Pp S18-S21 (2016) |
| ISSN: | 0019-4832 |
| DOI: | 10.1016/j.ihj.2015.09.031 |
| Popis: | Introduction Cardiovascular disorders are the major cause of mortality and morbidity globally as well as in India. In India, where resources are limited and majority of patients pay out of their own pocket, thrombolysis is still done for majority of STEMI cases. Case Scenario A 48-year-old male patient, nonhypertensive and nondiabetic, came to the ER with history of retrosternal chest pain suggestive of angina at rest. An Electrocardiogram (ECG) revealed ST-segment elevation in the anterior leads. Patient was diagnosed with Acute STEMI and thrombolysis was initiated with STK. The following day, the patient complained of pain in his left groin. On examination, there was a swelling and tenderness in left lower abdomen and inability to extend the hip. A CT scan was done, which showed Psoas muscle hematoma. Conclusion Spontaneous bleed into psoas muscle is a very rare complication of thrombolysis that may require surgical exploration. |
| Databáze: | OpenAIRE |
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