Delayed retroperitoneal haematoma after failed lumbar plexus block.
case_report · Level V
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- Record sourced from PubMed, PMID 15321930.
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Abstract
A 72-yr-old patient was to undergo a left lumbar plexus block by the posterior approach to achieve postoperative analgesia after hip replacement. The block failed after three unsuccessful attempts to identify nerve structures and a fascia iliaca compartment block was performed. Postoperatively the patient received enoxaparin and then phenylindanedione for thromboprophylaxis. She was re-admitted 2 weeks after surgery because of a lower limb motor deficit and a left retroperitoneal haematoma requiring blood transfusion. Clinicians need to be aware of this potential complication of lumbar plexus block in patients receiving thrombphylaxis.
Medical subject headings
- Hematoma
- Lumbosacral Plexus
- Nerve Block