title: Large subcutaneous hematoma complicating epidural block.
abstract: We present a case of a large subcutaneous hematoma in the lumbar region that occurred after epidural block was performed for the relief of labor pain. Epidural analgesia was begun in a young and healthy primigravida. Eight hours later, she needed an emergency cesarean section. Before anesthesia, blood was observed flowing freely around the site of the catheter insertion. General anesthesia was administered. Postoperative computed tomography showed a large subcutaneous hematoma in the lumbar region. Her postpartum course was complicated by an unexplained fever, which responded to antibiotic therapy and warranted prolonged hospitalization. Coagulation and bleeding studies were normal. We conclude subcutaneous hematoma after epidural block can cause significant morbidity and should be added to the list of neuroaxial block complications.
authors.affiliation: Department of Anesthesiology, Pain Management Service, HaEmek Medical Center, 18101 Afula, Israel. ykatz18@hotmail.com
authors.forename: Y
authors.initials: Y
authors.lastname: Katz
authors.forename: E
authors.initials: E
authors.lastname: Poppa
authors.forename: D C
authors.initials: DC
authors.lastname: Segal
authors.forename: B
authors.initials: B
authors.lastname: Rozenberg
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D014057:Tomography, X-Ray Computed