title: Cerebrospinal fluid cutaneous fistula following obstetric epidural analgaesia. Case report.
abstract: Cutaneous fistula of cerebrospinal fluid is a rare complication of neuroaxial blockade. We report the case of a parturient in whom an epidural catheter was placed for labour analgesia and 12h after the catheter was removed, presented an abundant asymptomatic fluid leak from the puncture site, compatible in the cyto-chemical analysis with cerebrospinal fluid. She was treated with acetazolamide, compression of skin orifice of the fluid leakage, antibiotic prophylaxis, hydration and rest, and progressed satisfactorily without requiring blood patch.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital de Especialidades de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España. Electronic address: jjfedriani@gmail.com.
authors.forename: J J
authors.initials: JJ
authors.lastname: Fedriani de Matos
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital de Especialidades de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: A V
authors.initials: AV
authors.lastname: Quintero Salvago
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital de Especialidades de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
authors.forename: M D
authors.initials: MD
authors.lastname: Gómez Cortés
mesh_terms: D000086:Acetazolamide / Q000627:therapeutic use; D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D019072:Antibiotic Prophylaxis; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000209:etiology* / Q000628:therapy; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000628:therapy; D005440:Fluid Therapy; D006801:Humans; D007751:Labor, Induced; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology* / Q000628:therapy; D013122:Spinal Diseases / Q000209:etiology* / Q000628:therapy; D013129:Spinal Puncture / Q000009:adverse effects*
chemical_list: D000086:Acetazolamide
keywords: Acetazolamida; Acetazolamide; Analgesia epidural; Cerebrospinal fluid; Embarazo; Epidural analgesia; Fistula; Fístula; Líquido cefalorraquídeo; Pregnancy