Spontaneous Intramuscular Haemorrhage: A Rare Complication of Dermatomyositis

Authors

  • Isobel Hughes Department of Radiology, St James’s Hospital, Dublin, Ireland
  • Michael Courtney Department of Radiology, St James’s Hospital, Dublin, Ireland
  • Ciaran Johnston Department of Radiology, St James’s Hospital, Dublin, Ireland
  • Niall Sheehy Department of Radiology, St James’s Hospital, Dublin, Ireland

DOI:

https://doi.org/10.3941/jrcr.5746

Abstract

Spontaneous intramuscular haemorrhage is a rare complication that can occur in patients with dermatomyositis. We describe a case which was radiologically diagnosed on computed tomography and the management of which was complicated by her malignancy-associated prothrombotic state. Knowledge of this potentially fatal complication and its radiological features are necessary for timely recognition and management. 

Coronal image from the portal venous phase abdominal CT shows a large pelvic mass measuring 14cm, predominantly solid with some cystic components, and trace free fluid in the pelvis

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Published

2025-11-30

Issue

Vol. 19 No. 11 (2025)

Section

Musculoskeletal Radiology

License

Copyright (c) 2025 Journal of Radiology Case Reports

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