Spontaneous Retroperitoneal Hematoma After Total Hip Arthroplasty.
| Autor: | DeLeon AM; Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, USA., Gande M; Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, USA., Garcia Tomas V; Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 May 13; Vol. 15 (5), pp. e38971. Date of Electronic Publication: 2023 May 13 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.38971 |
| Abstrakt: | Spontaneous retroperitoneal hematomas are a rare yet potentially devastating occurrence associated with antiplatelet and anticoagulant therapies. We present a case of a spontaneous retroperitoneal hematoma post-operatively after a total hip arthroplasty surgery performed under a midline approach spinal anesthetic. A 79-year-old male with a BMI of 25.72 kg/m 2 presented for anterior total hip arthroplasty. A midline approach with an uncomplicated spinal anesthetic was performed. On the night of postoperative day 0, the patient received a prophylactic dose of dalteparin. The patient reported back pain, contralateral leg numbness, and weakness that began overnight on postoperative day 0. A computed tomography (CT) scan confirmed a 10 cm, contralateral retroperitoneal hematoma. The patient underwent interventional radiology embolization followed by surgical evacuation and demonstrated improvement in the neurologic function of his affected leg. Despite the rarity of a spontaneous retroperitoneal hematoma formation in the perioperative period, it could be simultaneously evaluated when performing an MRI to rule out spinal hematoma if a patient suffers a post-op neurologic deficit after a neuraxial technique. Understanding the evaluation and timely treatment of patients at risk for a perioperative retroperitoneal hematoma could help clinicians prevent a permanent neurologic deficit. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, DeLeon et al.) |
| Databáze: | MEDLINE |
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