American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2014, 2(8), 152-154
DOI: 10.12691/ajmcr-2-8-2
Open AccessCase Report

Delayed Psoas Hematoma after Echis Carinatus Bite: An Unusual Manifestation

Manoj Lakhotia1, Hans Raj Pahadiya2, , Harish Kumar2, Jagdish Singh2, Gopal Raj Prajapati3 and Ravi Sangappa Jainapur4

1Senior Professor, Department of medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India

2Senior Resident, Department of medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India

3Assistant Professor, Department of medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India

4Resident, Department of medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India

Pub. Date: August 19, 2014

Cite this paper:
Manoj Lakhotia, Hans Raj Pahadiya, Harish Kumar, Jagdish Singh, Gopal Raj Prajapati and Ravi Sangappa Jainapur. Delayed Psoas Hematoma after Echis Carinatus Bite: An Unusual Manifestation. American Journal of Medical Case Reports. 2014; 2(8):152-154. doi: 10.12691/ajmcr-2-8-2

Abstract

Bleeding manifestations are common with viperine snake bite. Common bleeding manifestations include bleeding from site of bite, bleeding gums, epistaxis, hemoptysis, hematuria, hematemesis and intracranial bleed. Bleeding in retroperitoneal, plural and pericardial spaces have also been described. Delayed bleeding in the muscle is a rare complication. We report a patient of viperine bite who developed Psoas hematoma after eight days of bite. The patient had low platelet count and normal coagulation profile. He responded to intravenous dexamethasone. In appropriate setting, the possibility of soft tissue bleeding should be considered in a patient of snake bite inspite of coagulation profile being normal. To the best of our knowledge this is the first case report of delayed Psoas hematoma after Echis carinatus bite.

Keywords:
Viperine bite Echis carinatus Psoas hematoma

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