Complaining of right sided back pain, right lower abdominal pain, and an inability to extend his right hip joint for two days.
Referred for USG of abdomen and pelvis with suspected renal colic.
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There is diffuse enlargement of right iliacus and psoas muscles. There is a collection with echoes involving the right iliacus muscle measuring 70 x 25 x 15 mm. There are 2-3 smaller collections (10-15 mm) involving the right psoas muscle in the lower abdomen. There is a rim of fluid along the anterior aspect of right psoas muscle in its cranial part. There is a rim of fluid along the posterior aspect of right psoas muscle in iliac fossa region.
There was no renal calculus / hydronephrosis / hydroureter on the right side.
Findings suggest an iliopsoas hematoma in a patient with a known history of a bleeding disorder.
History of continuous back pain with inability to extend the right hip joint along with the absence of hematuria/dysuria were against suspected renal colic.