title: Bilateral extensive skin necrosis of the lower limbs following prolonged epidural blockade.
abstract: Skin necrosis has not been described as a complication following epidural sympathetic blockade. We report a case of bilateral extensive skin necrosis of the lower limbs after a 48-hour lumbar epidural blockade in a 71-year-old patient with right hemiplegia and mitral valve regurgitation, without any preoperative clinical evidence of peripheral vascular disease or diabetes, who underwent transurethral prostatectomy.
authors.affiliation: Institute of Anaesthesiology and Intensive Care, University of Cagliari, Ospedale S. Giovanni di Dio, Italy.
authors.forename: V A
authors.initials: VA
authors.lastname: Peduto
authors.forename: G
authors.initials: G
authors.lastname: Boero
authors.forename: A
authors.initials: A
authors.lastname: Marchi
authors.forename: R
authors.initials: R
authors.lastname: Tani
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D006801:Humans; D007871:Leg Ulcer / Q000209:etiology* / Q000473:pathology; D008297:Male; D009336:Necrosis; D012867:Skin / Q000473:pathology; D013997:Time Factors