Hematoma of the iliacus muscle with femoral palsy.

A case of two simultaneous complications of anticoagulant therapy is presented: a hematoma strictly of the iliacus muscle causing femoral nerve paralysis and a retroperitoneal hematoma. The femoral nerve was trapped by the inguinal ligament to such an extent that its section was necessary to assure rapid and total nerve decompression. Evacuation and drainage of the hematoma was necessary. The favorable postoperative course encourages surgical management of this hematoma with nerve paralysis.