Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy

Obturator nerve injury is a known injury after robot-assisted laparoscopic radical prostatectomy (RALP) and patients often present with motor and sensory deficits in the immediate postoperative period. We describe a 65-year-old male who presented with motor deficits, indicative of obturator neurapra...

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Autores principales: Song, Jun H., Kaplan, Joshua R., Abbott, Daniel, Gewirtz, Eric, Hauck, Ellen, Eun, Daniel D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc. 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999023/
https://www.ncbi.nlm.nih.gov/pubmed/27579444
http://dx.doi.org/10.1089/cren.2016.0075
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author Song, Jun H.
Kaplan, Joshua R.
Abbott, Daniel
Gewirtz, Eric
Hauck, Ellen
Eun, Daniel D.
author_facet Song, Jun H.
Kaplan, Joshua R.
Abbott, Daniel
Gewirtz, Eric
Hauck, Ellen
Eun, Daniel D.
author_sort Song, Jun H.
collection PubMed
description Obturator nerve injury is a known injury after robot-assisted laparoscopic radical prostatectomy (RALP) and patients often present with motor and sensory deficits in the immediate postoperative period. We describe a 65-year-old male who presented with motor deficits, indicative of obturator neurapraxia after RALP upon waking from anesthesia. Work-up revealed an expansile hematoma possibly compressing the obturator nerve. After evacuation of the hematoma, the patient had immediate improvement of his neurologic deficits. Our patient's clinical vignette illustrates the importance of considering postsurgical hematoma in the differential diagnosis when patients present with signs and symptoms of obturator neurapraxia after RALP.
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spelling pubmed-49990232016-08-30 Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy Song, Jun H. Kaplan, Joshua R. Abbott, Daniel Gewirtz, Eric Hauck, Ellen Eun, Daniel D. J Endourol Case Rep Case Report Obturator nerve injury is a known injury after robot-assisted laparoscopic radical prostatectomy (RALP) and patients often present with motor and sensory deficits in the immediate postoperative period. We describe a 65-year-old male who presented with motor deficits, indicative of obturator neurapraxia after RALP upon waking from anesthesia. Work-up revealed an expansile hematoma possibly compressing the obturator nerve. After evacuation of the hematoma, the patient had immediate improvement of his neurologic deficits. Our patient's clinical vignette illustrates the importance of considering postsurgical hematoma in the differential diagnosis when patients present with signs and symptoms of obturator neurapraxia after RALP. Mary Ann Liebert, Inc. 2016-08-01 /pmc/articles/PMC4999023/ /pubmed/27579444 http://dx.doi.org/10.1089/cren.2016.0075 Text en © Jun H. Song et al. 2016; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Song, Jun H.
Kaplan, Joshua R.
Abbott, Daniel
Gewirtz, Eric
Hauck, Ellen
Eun, Daniel D.
Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy
title Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy
title_full Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy
title_fullStr Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy
title_full_unstemmed Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy
title_short Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy
title_sort obturator compartment syndrome secondary to pelvic hematoma after robot-assisted laparoscopic radical prostatectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999023/
https://www.ncbi.nlm.nih.gov/pubmed/27579444
http://dx.doi.org/10.1089/cren.2016.0075
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