Mahmut YESİN, Macit KALÇIK, Lütfi ÖCAL, Mustafa YILDIZ, Mehmet ÖZKAN, Mustafa Ozan GÜRSOY

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

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.

Mekanik Protez Kalp Kapaklı Bir Hastada Spontan Prepatellar Bursa Hematomu

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.

PDF

___

Chatra PS. Bursae around the knee joints. Indian J Radiol Imaging 2012;22:27-30. doi: 10.4103/0971-3026.95400.
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.
Hirji Z, Hanjun JS, Choudur HN. Imaging of Bursae. J Clin Imaging Sci 2011;1:22.
Bhat AK, Bhaskaranand K. Massive prepatellar bursitis in post-polio residual paralysis: A case report. J Orthop Surg (Hong Kong) 2001;9:71-3.
Handy JR. Popliteal cysts in adults: A review. Semin Arthritis Rheum 2001;31:108-18.
McCarthy CL, McNally EG. The MRI appearance of cystic lesions around the knee. Skeletal Radiol 2004;33:187-209.