Retroperitoneal haematoma following diagnostic lumbar puncture. Clinical case
Keywords:
Spinal puncture, Haematoma, Constriction pathologic, Shock, Surgical procedures operative
Abstract
Introduction: Iatrogenic retroperitoneal haematoma is an infrequent but serious complication of certain surgical procedures.
Case presentation: We present the case of a female who developed retroperitoneal haemorrhage after an intradural lumbar puncture, resulting in multiple-organ failure. The diagnosis and treatment of this complication was more difficult than usual because of the presence of bilateral subclavian artery stenosis.
Conclusion: Early diagnosis and prompt treatment with either conservative or interventional management is essential in order to decrease associated morbidity. Bilateral non-invasive arterial pressure measurements should be routinely performed in all cases, especially in patients with peripheral artery disease.
References
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2. Barak M, Fischer D, Gat M, Katz Y. Retroperitoneal hematoma after spinal anesthesia with the paramedian approach. Anesth Analg. 2004;98:851-3.
3. Aveline C, Bonnet F. Delayed retroperitoneal haematoma after failed lumbar plexus block. Br J Anaesth. 2004;93:589-91.
4. Parvaiz MA, Korwar V, McArthur D, Claxton A, Dyer J, Isgar B. Large retroperitoneal haematoma: an unexpected complication of ilioinguinal nerve block for inguinal hernia repair. Anaesthesia 2012;67:80-1.
5. Levine MN, Raskob G, Landefeld S, Kearon C. Hemorrhagic complications of anticoagulant treatment. Chest. 2001;119 Suppl. 1:108s-21s.
6. Farouque HMO, Tremmel JA, Raissi Shabari F. Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol. 2005;45:363-8.
7. Sajnani N, Bogart DB. Retroperitoneal hemorrhage as a complication of percutaneous intervention: report of 2 cases and review of the literature. Open Cardiovasc Med J. 2013;7:16-22.
8. Ochoa VM, Yeghiazarians Y. Subclavian artery stenosis: a review for the vascular medicine practitioner. Vasc Med. 2011;16:29-34.
9. Dashfield AK, Farrington WJ, Langton JA, Ashley S. Persistent intraoperative hypotension as a presentation of bilateral subclavian artery stenosis. J Cardiothorac Vasc Anesth. 1998;12:321-3.
10. Kim YH, Lim SH, Lee JI, Kim YH, Lee JH, Lee KM, et al. Left subclavian artery stenosis found by the interarm blood pressure difference during combined spinal-epidural anesthesia of patient with peripheral vascular disease. A case report. Korean J Anaesthesiol. 2008;55:229-32.
11. Wood RJ, Walmsley AJ. Subclavian artery stenosis and blood pressure control. Anaesthesia 2006;61:409-10.
2. Barak M, Fischer D, Gat M, Katz Y. Retroperitoneal hematoma after spinal anesthesia with the paramedian approach. Anesth Analg. 2004;98:851-3.
3. Aveline C, Bonnet F. Delayed retroperitoneal haematoma after failed lumbar plexus block. Br J Anaesth. 2004;93:589-91.
4. Parvaiz MA, Korwar V, McArthur D, Claxton A, Dyer J, Isgar B. Large retroperitoneal haematoma: an unexpected complication of ilioinguinal nerve block for inguinal hernia repair. Anaesthesia 2012;67:80-1.
5. Levine MN, Raskob G, Landefeld S, Kearon C. Hemorrhagic complications of anticoagulant treatment. Chest. 2001;119 Suppl. 1:108s-21s.
6. Farouque HMO, Tremmel JA, Raissi Shabari F. Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol. 2005;45:363-8.
7. Sajnani N, Bogart DB. Retroperitoneal hemorrhage as a complication of percutaneous intervention: report of 2 cases and review of the literature. Open Cardiovasc Med J. 2013;7:16-22.
8. Ochoa VM, Yeghiazarians Y. Subclavian artery stenosis: a review for the vascular medicine practitioner. Vasc Med. 2011;16:29-34.
9. Dashfield AK, Farrington WJ, Langton JA, Ashley S. Persistent intraoperative hypotension as a presentation of bilateral subclavian artery stenosis. J Cardiothorac Vasc Anesth. 1998;12:321-3.
10. Kim YH, Lim SH, Lee JI, Kim YH, Lee JH, Lee KM, et al. Left subclavian artery stenosis found by the interarm blood pressure difference during combined spinal-epidural anesthesia of patient with peripheral vascular disease. A case report. Korean J Anaesthesiol. 2008;55:229-32.
11. Wood RJ, Walmsley AJ. Subclavian artery stenosis and blood pressure control. Anaesthesia 2006;61:409-10.
How to Cite
1.
Soto-Mesa D, Herrera-Soto A, Bermejo-Álvarez M Ángel, Argüelles-Tamargo L. Retroperitoneal haematoma following diagnostic lumbar puncture. Clinical case. Colomb. J. Anesthesiol. [Internet]. 2016 Jan. 1 [cited 2024 Apr. 26];44(1):44-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/68
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Published
2016-01-01
How to Cite
1.
Soto-Mesa D, Herrera-Soto A, Bermejo-Álvarez M Ángel, Argüelles-Tamargo L. Retroperitoneal haematoma following diagnostic lumbar puncture. Clinical case. Colomb. J. Anesthesiol. [Internet]. 2016 Jan. 1 [cited 2024 Apr. 26];44(1):44-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/68
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Section
Case Report / Case Series
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