An Uncommon Complication of Streptokinase: Large Spontaneous Iliopsoas Hematoma

  • Raheleh Aliabadi Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Hassan Riahi Beni Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Jila Nadjafi East Surrey Associate Hospital for Brighton University, London, Uk.
  • Morteza Hassanzade Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Mehrnaz Tabrizi Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Mohsen Nasiri Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Gandom Sedehi Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Ali Pourmojarab Rasoul-e-Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Keywords: Streptokinase, ST elevation myocardial infarction, Hematoma, Iliopsoas muscle

Abstract

Streptokinase is a fibrinolytic agent that enhances plasmin activation and is used in selected patients with acute ST elevation myocardial infarction (STEMI). Similar to the other thrombolytics, a common side effect is bleeding, especially from venous puncture sites. Here, we present a case of acute anterior wall STEMI complicated by large spontaneous iliopsoas hematoma after streptokinase administration. With conservative management, the course of the disease was uneventful, and the patient was discharged with no symptom and no clinically important sequel.

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Published
2017-08-19
How to Cite
1.
Aliabadi R, Riahi Beni H, Nadjafi J, Hassanzade M, Tabrizi M, Nasiri M, Sedehi G, Pourmojarab A. An Uncommon Complication of Streptokinase: Large Spontaneous Iliopsoas Hematoma. Acta Med Iran. 55(6):411-413.
Section
Case Report(s)