• André Gottschalk, Petra Bischoff, Katrin Lamszus, and Thomas Standl.
• Department of Anesthesiology, University Hospital Hamburg-Eppendorf, Germany. gottschalk.andre@gmx.de
• Anesth. Analg. 2004 Apr 1; 98 (4): 1181-3, table of contents.

UnlabelledThe incidence of hemorrhagic complications after neuroaxial anesthesia is very infrequent. We report a case of a woman developing epidural bleeding 3 wk after performing an uneventful spinal anesthesia at the lumbar level L3-4 for removal of a wire loop in her left knee. No hemostasis altering medication had been taken before and after spinal puncture. The hematoma presenting at the lumbar level L2-3 had to be removed via laminectomy. Pathological examination of the hematoma revealed a highly vascularized centroblastic non-Hodgkin's lymphoma that was not diagnosed before surgery. The patient did not develop any neurological deficits.ImplicationsWe report a case of a women developing epidural bleeding 3 wk after performing an uneventful spinal anesthesia for removal of a wire loop in her left knee. Pathological examination of the neurosurgically removed hematoma revealed a highly vascularized epidural centroblastic non-Hodgkin lymphoma.

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