Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban

Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, a...

Descripción completa

Detalles Bibliográficos
Autores principales: Koniuch, Katherine L., Harris, Bradley, Buys, Michael J., Meier, Adam W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110037/
https://www.ncbi.nlm.nih.gov/pubmed/30186636
http://dx.doi.org/10.1155/2018/7653202
_version_ 1783350409902948352
author Koniuch, Katherine L.
Harris, Bradley
Buys, Michael J.
Meier, Adam W.
author_facet Koniuch, Katherine L.
Harris, Bradley
Buys, Michael J.
Meier, Adam W.
author_sort Koniuch, Katherine L.
collection PubMed
description Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, an unrecognized vascular injury occurred leading to a 14-cm hematoma in the anterolateral thigh. Morbid obesity warrants additional risk consideration when placing nerve blocks in an anticoagulated patient. In addition, early recognition and expert consultation are both important in the management of block-related hematomas.
format Online
Article
Text
id pubmed-6110037
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-61100372018-09-05 Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban Koniuch, Katherine L. Harris, Bradley Buys, Michael J. Meier, Adam W. Case Rep Anesthesiol Case Report Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, an unrecognized vascular injury occurred leading to a 14-cm hematoma in the anterolateral thigh. Morbid obesity warrants additional risk consideration when placing nerve blocks in an anticoagulated patient. In addition, early recognition and expert consultation are both important in the management of block-related hematomas. Hindawi 2018-08-13 /pmc/articles/PMC6110037/ /pubmed/30186636 http://dx.doi.org/10.1155/2018/7653202 Text en Copyright © 2018 Katherine L. Koniuch et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Koniuch, Katherine L.
Harris, Bradley
Buys, Michael J.
Meier, Adam W.
Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
title Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
title_full Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
title_fullStr Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
title_full_unstemmed Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
title_short Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban
title_sort case report of a massive thigh hematoma after adductor canal block in a morbidly obese woman anticoagulated with apixaban
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110037/
https://www.ncbi.nlm.nih.gov/pubmed/30186636
http://dx.doi.org/10.1155/2018/7653202
work_keys_str_mv AT koniuchkatherinel casereportofamassivethighhematomaafteradductorcanalblockinamorbidlyobesewomananticoagulatedwithapixaban
AT harrisbradley casereportofamassivethighhematomaafteradductorcanalblockinamorbidlyobesewomananticoagulatedwithapixaban
AT buysmichaelj casereportofamassivethighhematomaafteradductorcanalblockinamorbidlyobesewomananticoagulatedwithapixaban
AT meieradamw casereportofamassivethighhematomaafteradductorcanalblockinamorbidlyobesewomananticoagulatedwithapixaban

Ejemplares similares