Symptomatic axillary hematoma after ultrasound-guided infraclavicular block in a patient with undiagnosed upper extremity mycotic aneurysms.
We present a case of axillary hematoma complicating an ultrasound-guided infraclavicular block in a patient with undiagnosed mycotic aneurysms of the peripheral arteries. Mycotic aneurysm is a rare medical condition with well-identified risk factors. When performing regional anesthesia in patients with these risk factors, clinicians should have a high degree of suspicion about the possible existence of vascular anomalies. A preprocedure Doppler study of the block area and real-time guidance of the needle using ultrasound may be useful.
Gleeton
Dave
D
Department of Anesthesiology, Centre de Recherche du CHA, Unité de Recherche en Traumatologie-Urgence-Soins Intensifs, Hôpital de l'Enfant-Jésus, Université Laval, Quebec, QC, G1J 1Z4, Canada. g.dave@live.com
Levesque
Simon
S
Trépanier
Claude A
CA
Gariépy
Jean-Luc
JL
Brassard
Jean
J
Dion
Nicolas
N
D000328:Adult; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology*; D001132:Arm / Q000098:blood supply / Q000382:microbiology*; D001365:Axilla / Q000098:blood supply / Q000382:microbiology*; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology*; D018084:Ultrasonography, Interventional / Q000009:adverse effects