Manoj Lakhotia¹, Hans Raj Pahadiya^2,, Harish Kumar², Jagdish Singh², Gopal Raj Prajapati³, Ravi Sangappa Jainapur⁴

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.

Viperine bite, Echis carinatus, Psoas hematoma