• A&A practice · May 2021

    Case Reports

    Intrasacral Meningocele Complicating Caudal Analgesia in a 6-Year-Old Child After 3 Previous Uneventful Caudals: A Case Report.

    • Julie D Dunlap, Jacquelyn E Allison, Morton C Green, Laurie L Ackerman, and Benjamin M Whittam.
    • From the Departments of Anesthesia.
    • A A Pract. 2021 May 10; 15 (5): e01457.

    AbstractA 6-year-old male undergoing bilateral hydrocelectomy was to receive caudal analgesia after induction of general anesthesia. After insertion of the caudal needle, cerebrospinal fluid was unexpectedly aspirated and the caudal was abandoned. The surgeon performed bilateral ilioinguinal nerve blocks just before incision. Surgery was uneventful. The patient had difficulty ambulating postoperatively, and a detailed neurologic examination revealed quadriceps weakness. A lumbosacral magnetic resonance imaging (MRI) revealed a sacral meningocele. By the next morning, quadriceps function had returned, and he was ambulating normally. The ilioinguinal block was most likely deep to the internal oblique muscle and produced femoral nerve dysfunction.Copyright © 2021 International Anesthesia Research Society.

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