Retroperitoneal hemorrhage following spinal anesthesia: A case report
Serious neurological problems following spinal anesthesia are rare, although they can occur. We report a case of a 31-year-old female patient, parturient, Gravida 2 Para 1, with a body mass index (BMI) of 25 kg/m2 who had a paramedian approach spinal anesthesia using 23-gauge Quincke spinal needle f...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Saudi Journal of Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/sja.sja_350_24 |
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| author | Haneen Hawsawi Lamia ALjeraisy Rothana Aljehani Majed Alharbi |
| author_facet | Haneen Hawsawi Lamia ALjeraisy Rothana Aljehani Majed Alharbi |
| author_sort | Haneen Hawsawi |
| collection | DOAJ |
| description | Serious neurological problems following spinal anesthesia are rare, although they can occur. We report a case of a 31-year-old female patient, parturient, Gravida 2 Para 1, with a body mass index (BMI) of 25 kg/m2 who had a paramedian approach spinal anesthesia using 23-gauge Quincke spinal needle for an emergent cesarean section due to failure to progress. Four attempts were required to achieve successful spinal blockade. The procedure was successfully performed with no complications. On the first postoperative day, the patient started to complain of pressure headache and abdominal pain radiating to the lower back. Magnetic resonance imaging (MRI) lumbar spine revealed right peri-nephric and retroperitoneal subacute hematoma and no evidence of cerebrospinal fluid (CSF) leak or collection. Computed tomography (CT) angiography affirmed the diagnosis of large retroperitoneal hematoma extending to inferior vena cava, measuring about 5 × 15 × 16 cm in its maximum antero-posterior, transverse, and cranio-caudal diameters, respectively, corresponding to about 620 ml volume. No active bleeding was demonstrated. |
| format | Article |
| id | doaj-art-4a93e73a4cf04adcbe547fe73ce558d0 |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-4a93e73a4cf04adcbe547fe73ce558d02025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-01191959710.4103/sja.sja_350_24Retroperitoneal hemorrhage following spinal anesthesia: A case reportHaneen HawsawiLamia ALjeraisyRothana AljehaniMajed AlharbiSerious neurological problems following spinal anesthesia are rare, although they can occur. We report a case of a 31-year-old female patient, parturient, Gravida 2 Para 1, with a body mass index (BMI) of 25 kg/m2 who had a paramedian approach spinal anesthesia using 23-gauge Quincke spinal needle for an emergent cesarean section due to failure to progress. Four attempts were required to achieve successful spinal blockade. The procedure was successfully performed with no complications. On the first postoperative day, the patient started to complain of pressure headache and abdominal pain radiating to the lower back. Magnetic resonance imaging (MRI) lumbar spine revealed right peri-nephric and retroperitoneal subacute hematoma and no evidence of cerebrospinal fluid (CSF) leak or collection. Computed tomography (CT) angiography affirmed the diagnosis of large retroperitoneal hematoma extending to inferior vena cava, measuring about 5 × 15 × 16 cm in its maximum antero-posterior, transverse, and cranio-caudal diameters, respectively, corresponding to about 620 ml volume. No active bleeding was demonstrated.https://journals.lww.com/10.4103/sja.sja_350_24cesarean sectionretroperitoneal hemorrhagespinal anesthesia |
| spellingShingle | Haneen Hawsawi Lamia ALjeraisy Rothana Aljehani Majed Alharbi Retroperitoneal hemorrhage following spinal anesthesia: A case report Saudi Journal of Anaesthesia cesarean section retroperitoneal hemorrhage spinal anesthesia |
| title | Retroperitoneal hemorrhage following spinal anesthesia: A case report |
| title_full | Retroperitoneal hemorrhage following spinal anesthesia: A case report |
| title_fullStr | Retroperitoneal hemorrhage following spinal anesthesia: A case report |
| title_full_unstemmed | Retroperitoneal hemorrhage following spinal anesthesia: A case report |
| title_short | Retroperitoneal hemorrhage following spinal anesthesia: A case report |
| title_sort | retroperitoneal hemorrhage following spinal anesthesia a case report |
| topic | cesarean section retroperitoneal hemorrhage spinal anesthesia |
| url | https://journals.lww.com/10.4103/sja.sja_350_24 |
| work_keys_str_mv | AT haneenhawsawi retroperitonealhemorrhagefollowingspinalanesthesiaacasereport AT lamiaaljeraisy retroperitonealhemorrhagefollowingspinalanesthesiaacasereport AT rothanaaljehani retroperitonealhemorrhagefollowingspinalanesthesiaacasereport AT majedalharbi retroperitonealhemorrhagefollowingspinalanesthesiaacasereport |