RESUMO
Se presenta el caso de un varón de 83 años en tratamiento con rivaroxabán, con dolor en hombro, cara posterior de brazo, antebrazo y muñeca derechos e incapacidad para extender muñeca y dedos, tras un traumatismo. Las radiografías son normales, pero en la TC torácica se objetiva seudoaneurisma de arteria axilar y un hematoma secundario que comprime el plexo braquial. Esta entidad ha de tenerse en cuenta en pacientes con hombro doloroso, anticoagulados y sin alteraciones radiológicas asociadas
We report the case of an 83-year-old man on rivaroxaban treatment, with pain in right shoulder, back of the upper arm, forearm and wrist, and inability to extend the wrist and fingers, as the result of an injury. The radiographs were normal, but thoracic CT showed an axillary artery pseudoaneurysm and a secondary hematoma that compressed the brachial plexus. This should be borne in mind in patients with painful shoulder, treated with anticoagulant therapy and without associated radiographic changes
Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Dor de Ombro/tratamento farmacológico , Rivaroxabana/administração & dosagem , Dor de Ombro/diagnóstico por imagem , Fibrilação Atrial/tratamento farmacológico , Rivaroxabana/metabolismo , Tomografia Computadorizada por Raios X , Falso Aneurisma/diagnóstico por imagem , Artéria Axilar/diagnóstico por imagem , Cotovelo/diagnóstico por imagem , Mãos/diagnóstico por imagemRESUMO
We report the case of an 83-year-old man on rivaroxaban treatment, with pain in right shoulder, back of the upper arm, forearm and wrist, and inability to extend the wrist and fingers, as the result of an injury. The radiographs were normal, but thoracic CT showed an axillary artery pseudoaneurysm and a secondary hematoma that compressed the brachial plexus. This should be borne in mind in patients with painful shoulder, treated with anticoagulant therapy and without associated radiographic changes.
