• Br J Anaesth · Oct 2004

    Case Reports

    Delayed retroperitoneal haematoma after failed lumbar plexus block.

    • C Aveline and F Bonnet.
    • Département d'Anesthésie-Réanimation, Polyclinique Sévigné, 3 rue du Chéne Germain, F-35510 Cesson-Sevigne, France. caveline@club-internet.fr
    • Br J Anaesth. 2004 Oct 1;93(4):589-91.

    AbstractA 72-yr-old patient was to undergo a left lumbar plexus block by the posterior approach to achieve postoperative analgesia after hip replacement. The block failed after three unsuccessful attempts to identify nerve structures and a fascia iliaca compartment block was performed. Postoperatively the patient received enoxaparin and then phenylindanedione for thromboprophylaxis. She was re-admitted 2 weeks after surgery because of a lower limb motor deficit and a left retroperitoneal haematoma requiring blood transfusion. Clinicians need to be aware of this potential complication of lumbar plexus block in patients receiving thrombphylaxis.

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