Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, a...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2018/7653202 |
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| author | Katherine L. Koniuch Bradley Harris Michael J. Buys Adam W. Meier |
| author_facet | Katherine L. Koniuch Bradley Harris Michael J. Buys Adam W. Meier |
| author_sort | Katherine L. Koniuch |
| collection | DOAJ |
| description | Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, an unrecognized vascular injury occurred leading to a 14-cm hematoma in the anterolateral thigh. Morbid obesity warrants additional risk consideration when placing nerve blocks in an anticoagulated patient. In addition, early recognition and expert consultation are both important in the management of block-related hematomas. |
| format | Article |
| id | doaj-art-12e3a8a171294ac78b773f2c6f05d874 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-12e3a8a171294ac78b773f2c6f05d8742025-02-03T05:49:43ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/76532027653202Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with ApixabanKatherine L. Koniuch0Bradley Harris1Michael J. Buys2Adam W. Meier3University of Utah Department of Anesthesiology, USAUniversity of Utah Department of Anesthesiology, USAUniversity of Utah Department of Anesthesiology, USAUniversity of Utah Department of Anesthesiology, USAHematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, an unrecognized vascular injury occurred leading to a 14-cm hematoma in the anterolateral thigh. Morbid obesity warrants additional risk consideration when placing nerve blocks in an anticoagulated patient. In addition, early recognition and expert consultation are both important in the management of block-related hematomas.http://dx.doi.org/10.1155/2018/7653202 |
| spellingShingle | Katherine L. Koniuch Bradley Harris Michael J. Buys Adam W. Meier Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban Case Reports in Anesthesiology |
| title | Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban |
| title_full | Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban |
| title_fullStr | Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban |
| title_full_unstemmed | Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban |
| title_short | Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban |
| title_sort | case report of a massive thigh hematoma after adductor canal block in a morbidly obese woman anticoagulated with apixaban |
| url | http://dx.doi.org/10.1155/2018/7653202 |
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