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Markey JD, Alemi AS, Naunheim ML, et al. Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer. Case Rep Otolaryngol. 2017;2017:7631673doi: 10.1155/2017/7631673.
Markey, J. D., Alemi, A. S., Naunheim, M. L., Faden, D. L., Heaton, C. M., & Seth, R. (2017). Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer. Case reports in otolaryngology, 20177631673. https://doi.org/10.1155/2017/7631673
Markey, Jeffrey D, et al. "Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer." Case reports in otolaryngology vol. 2017 (2017): 7631673. doi: https://doi.org/10.1155/2017/7631673
Markey JD, Alemi AS, Naunheim ML, Faden DL, Heaton CM, Seth R. Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer. Case Rep Otolaryngol. 2017;2017:7631673. doi: 10.1155/2017/7631673. Epub 2017 Mar 26. PMID: 28536664; PMCID: PMC5425841.
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Case Rep Otolaryngol. 2017;2017:7631673. doi: 10.1155/2017/7631673. Epub 2017 Mar 26.

Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer.

Case reports in otolaryngology

Jeffrey D Markey, A Sean Alemi, Margaret L Naunheim, Daniel L Faden, Chase M Heaton, Rahul Seth

Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USA.

PMID: 28536664 PMCID: PMC5425841 DOI: 10.1155/2017/7631673

Abstract

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.

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