Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer

Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer

Spontaneous hematoma within the iliopsoas muscle (SIH) is a rare complication most commonly seen in coagulopathic patients. Often, patients undergoing microvascular free tissue transfer are anticoagulated for anastomotic patency. Here we describe two cases of postoperative SIH following contralatera...

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Main Authors: Jeffrey D. Markey, A. Sean Alemi, Margaret L. Naunheim, Daniel L. Faden, Chase M. Heaton, Rahul Seth
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2017/7631673
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spelling doaj-6255d0d3c4b74c00ae102e11c4c87cb72020-11-24T22:09:25ZengHindawi LimitedCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/76316737631673Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue TransferJeffrey D. Markey0A. Sean Alemi1Margaret L. Naunheim2Daniel L. Faden3Chase M. Heaton4Rahul Seth5Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland, OR, USADepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USADepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USADepartment of Otolaryngology-Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USADepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USADepartment of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USASpontaneous hematoma within the iliopsoas muscle (SIH) is a rare complication most commonly seen in coagulopathic patients. Often, patients undergoing microvascular free tissue transfer are anticoagulated for anastomotic patency. Here we describe two cases of postoperative SIH following contralateral anterolateral thigh (ALT) free tissue transfer for reconstruction of oncologic head and neck defects. Both patients described hip pain after mobilization and had a corresponding acute blood loss anemia. Diagnosis of SIH was confirmed by CT and both patients were managed conservatively. Given that anticoagulation is a common practice following head and neck free tissue transfer, surgeons should be aware of this potential complication.http://dx.doi.org/10.1155/2017/7631673
collection DOAJ
language English
format Article
sources DOAJ
author Jeffrey D. Markey
A. Sean Alemi
Margaret L. Naunheim
Daniel L. Faden
Chase M. Heaton
Rahul Seth
spellingShingle Jeffrey D. Markey
A. Sean Alemi
Margaret L. Naunheim
Daniel L. Faden
Chase M. Heaton
Rahul Seth
Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer
Case Reports in Otolaryngology
author_facet Jeffrey D. Markey
A. Sean Alemi
Margaret L. Naunheim
Daniel L. Faden
Chase M. Heaton
Rahul Seth
author_sort Jeffrey D. Markey
title Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer
title_short Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer
title_full Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer
title_fullStr Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer
title_full_unstemmed Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer
title_sort spontaneous iliopsoas hematoma following microvascular free tissue transfer
publisher Hindawi Limited
series Case Reports in Otolaryngology
issn 2090-6765
2090-6773
publishDate 2017-01-01
description Spontaneous hematoma within the iliopsoas muscle (SIH) is a rare complication most commonly seen in coagulopathic patients. Often, patients undergoing microvascular free tissue transfer are anticoagulated for anastomotic patency. Here we describe two cases of postoperative SIH following contralateral anterolateral thigh (ALT) free tissue transfer for reconstruction of oncologic head and neck defects. Both patients described hip pain after mobilization and had a corresponding acute blood loss anemia. Diagnosis of SIH was confirmed by CT and both patients were managed conservatively. Given that anticoagulation is a common practice following head and neck free tissue transfer, surgeons should be aware of this potential complication.
url http://dx.doi.org/10.1155/2017/7631673
work_keys_str_mv AT jeffreydmarkey spontaneousiliopsoashematomafollowingmicrovascularfreetissuetransfer
AT aseanalemi spontaneousiliopsoashematomafollowingmicrovascularfreetissuetransfer
AT margaretlnaunheim spontaneousiliopsoashematomafollowingmicrovascularfreetissuetransfer
AT daniellfaden spontaneousiliopsoashematomafollowingmicrovascularfreetissuetransfer
AT chasemheaton spontaneousiliopsoashematomafollowingmicrovascularfreetissuetransfer
AT rahulseth spontaneousiliopsoashematomafollowingmicrovascularfreetissuetransfer
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