Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report

We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because of massive bleeding intraoperatively in cesarean section. The preoperative coagulation laboratory finding was in normal range and so we tried combined s...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2011, 61(4), , pp.336-340
Main Authors: Chung, Ji-Hyun, Hwang, Jinhwan, Cha, Seung-Cheol, Jung, Taehyeng, Woo, Seong Chang
Format: Article
Language:English
Subjects:
blood coagulation disorder
Case Report
cesarean section
epidural anesthesia
epidural hematoma
postpartum hemorrhage
spinal anesthesia
마취과학
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Summary:We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because of massive bleeding intraoperatively in cesarean section. The preoperative coagulation laboratory finding was in normal range and so we tried combined spinal epidural anesthesia. Uterine atony occurred in the operation, and there was persistant bleeding during and after the operation. After the operation, she complained of paresthesia on her both legs and was diagnosed with epidural hematoma (EDH) by radiologic examination. Emergency laminectomy on lumbar spine was carried out for hematoma evacuation and decompression of the epidural space at once. In our experience, massive bleeding during surgery may potentially increase the risk of EDH postoperatively.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2011.61.4.336