Mekanik Protez Kalp Kapaklı Bir Hastada Spontan Prepatellar Bursa Hematomu

Year 2016, Volume: 19 Issue: 1, 44 - 46, 04.04.2016

Macit Kalçık Lütfi Öcal Mustafa Ozan Gürsoy Mahmut Yesin Mustafa Yıldız Mehmet Özkan

Abstract

Prepatellar bursa hematomu genellikle
dizin ön yüzüne gelen direkt bir travma sonucu normal bursa içine gelişen
kanama sonucu oluşur. Spontan prepatellar bursa hematomu çok nadir gözlenen bir
durumdur. Prepatellar bursit ve septik bursit patellar bursa şişliklerinin
diğer önde gelen nedenleridir. Kanama antikoagülan tedavi altındaki protez
mitral kapaklı hastalarda tedaviyi kısıtlayabilen majör bir komplikasyondur.
Burada; warfarin sodyum tedavisi altındaki protez mitral kapaklı bir hastada
spontan prepatellar bursa hematomu sunulmaktadır.

Keywords

Warfarin, Hematom, bursa, sinovyal, mitral kapak, kalp kapağı protezi

Spontaneous Prepatellar Bursa Hematoma in a Patient with Mechanical Prosthetic Heart Valve

Abstract

Prepatellar bursa hematoma is
generally caused by direct trauma to the anterior aspect of the knee, resulting
in extravasation of blood into a normal bursa. Spontaneous prepatellar bursa
hematoma is an unusual entity. Prepatellar bursitis and septic bursitis are the
other common causes of a swollen patellar bursa. Bleeding has been recognized
as the major complication that limits anticoagulant treatment in patients with
prosthetic mitral valve. Here, we present a case of spontaneous prepatellar
bursa hematoma in a patient with prosthetic heart valve under warfarin sodium
therapy.

Keywords

Warfarin, hematoma, bursa, synovial, mitral valve, heart valve prosthesis

References

• 1. Chatra PS. Bursae around the knee joints. Indian J Radiol Imaging 2012;22:27-30. doi: 10.4103/0971-3026.95400.
• 2. Aaron DL, Patel A, Kayiaros S, Calfee R. Four common types of bursitis: diagnosis and management. J Am Acad Orthop Surg 2011;19:359-67.
• 3. Hirji Z, Hanjun JS, Choudur HN. Imaging of Bursae. J Clin Imaging Sci 2011;1:22.
• 4. Bhat AK, Bhaskaranand K. Massive prepatellar bursitis in post-polio residual paralysis: A case report. J Orthop Surg (Hong Kong) 2001;9:71-3.
• 5. Handy JR. Popliteal cysts in adults: A review. Semin Arthritis Rheum 2001;31:108-18.
• 6. McCarthy CL, McNally EG. The MRI appearance of cystic lesions around the knee. Skeletal Radiol 2004;33:187-209.