Two cases of epidural anesthesia-associated postoperative decubitus.
Very few cases of postoperative decubitus have been reported. We report two cases of hip decubitus after myomectomy. Case 1 is a 32-year-old Japanese woman who underwent an uncomplicated myomectomy under the combination of general and epidural anesthesia. Twelve hours after surgery, a palpable soft tissue mass developed in the sacral region. On day 3, the soft tissue mass had disappeared and the patient was discharged on day 8. Case 2 is a 33-year-old woman. Under a combination of spinal and epidural anesthesia, a myomectomy was carried out. On day 1 after surgery, a hard mass with redness was detected. On day 8, decubitus improved and she was discharged. We evaluated the temporal changes in anesthetic level in four independent cases. Eighteen hours after surgery, the anesthetic effect still continued below the L2 level. We conclude that the extended effect of epidural anesthesia might be one of the mechanisms causing postoperative decubitus.
Department of Obstetrics and Gynecology, Jikei University Aoto Hospital, Tokyo, Japan. eri-t@zg7.so-net.ne.jp
Eri
E
Takahashi
Seiji
S
Isonishi
Michiko
M
Suzuki
Asako
A
Ogura
Shiro
S
Kunito
Masanori
M
Hirama
Hirokazu
H
Shoji
Kazuhiko
K
Ochiai
Tadao
T
Tanaka
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery; D011183:Postoperative Complications / Q000139:chemically induced*; D003668:Pressure Ulcer / Q000209:etiology*; D014594:Uterine Neoplasms / Q000601:surgery