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Inicio Rehabilitación Hematoma gigante coagulado del gastrocnemio medial de localización atípica. Tr...
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Vol. 57. Issue 3.
(July - September 2023)
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Vol. 57. Issue 3.
(July - September 2023)
CASO CLÍNICO
Hematoma gigante coagulado del gastrocnemio medial de localización atípica. Tratamiento con fibrinolíticos en el drenaje ecoguiado: a propósito de un caso
Giant coagulated hematoma of the medial gastrocnemius of atypical location. Treatment with fibrinolytics in ultrasound-guided drainage: a case report
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J.A. Bernabéu Garcíaa,b,
Corresponding author
jbernabeu03@gmail.com

Autor para correspondencia.
, D. Sánchez-Rubiab, A. Querol-Martínezc, J. Iborra-Uriosa
a Unidad de Rehabilitación Musculoesquelética, Hospital Universitario Vall d’Hebron, Barcelona, España
b Reial Club Deportiu Espanyol de Barcelona, S.A.D., Barcelona, España
c Futbol Club Barcelona, Barcelona, España
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Resumen

A propósito de un paciente de 57 años con rotura de gastrocnemio medial y hematoma gigante coagulado de localización atípica, se revisan las consideraciones epidemiológicas, las pruebas de diagnóstico a realizar y el tratamiento utilizado (drenaje del hematoma mediante punciones seriadas ecoguiadas con la utilización de urocinasa intracavitaria), además de describir su evolución clínica.

Palabras clave:
Rotura muscular
Parte posterior de la pantorrilla
Gastrocnemio medial
Tennis leg injury
Hematoma
Urocinasa intracavitaria
Drenaje ecoguiado
Abstract

Regarding a 57-year-old patient with medial gastrocnemius tear and a giant coagulated hematoma of atypical location, the epidemiology, diagnostic test and treatment used are reviewed (hematoma drainage by means of serial punctures, echo-guided, with the use of intracavitary urokinase), as well as its clinical evolution is described.

Keywords:
Muscle tear
Posterior part of the calf
Medial gastrocnemius
Tennis leg injury
Hematoma
Intracavitary urokinase
Echo-guided drainage

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