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Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report
BACKGROUND: Trigger point blocks are now widely practiced, especially in pain treatment. Among the complications of lumbar trigger point injection, reports of medically induced kidney injury are very rare, and diagnosis during emergency treatment is rare. CASE PRESENTATION: A 78-year-old woman on an...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7838220/ https://www.ncbi.nlm.nih.gov/pubmed/33496864 http://dx.doi.org/10.1186/s40981-021-00416-0 |
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author | Sato, Satoshi Tachibana, Shunsuke Okazaki, Kayoko Namba, Hitoshi Ichimiya, Takahiro Yamakage, Michiaki |
author_facet | Sato, Satoshi Tachibana, Shunsuke Okazaki, Kayoko Namba, Hitoshi Ichimiya, Takahiro Yamakage, Michiaki |
author_sort | Sato, Satoshi |
collection | PubMed |
description | BACKGROUND: Trigger point blocks are now widely practiced, especially in pain treatment. Among the complications of lumbar trigger point injection, reports of medically induced kidney injury are very rare, and diagnosis during emergency treatment is rare. CASE PRESENTATION: A 78-year-old woman on antiplatelet medication following a stroke was diagnosed with treatable type A aortic dissection at another hospital after undergoing lumbar trigger point injection. On arrival at our hospital, there were no signs of hemodynamic deterioration. Additional careful medical re-interview and ultrasonography by anesthesiologists enabled a definitive diagnosis of acute kidney damage and hematoma caused by lumbar trigger point injection, and aortic dissection surgery was abandoned. CONCLUSION: This clinical case demonstrates the importance of awareness of potential kidney injury and hematoma during lumbar trigger point injection. |
format | Online Article Text |
id | pubmed-7838220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-78382202021-02-04 Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report Sato, Satoshi Tachibana, Shunsuke Okazaki, Kayoko Namba, Hitoshi Ichimiya, Takahiro Yamakage, Michiaki JA Clin Rep Case Report BACKGROUND: Trigger point blocks are now widely practiced, especially in pain treatment. Among the complications of lumbar trigger point injection, reports of medically induced kidney injury are very rare, and diagnosis during emergency treatment is rare. CASE PRESENTATION: A 78-year-old woman on antiplatelet medication following a stroke was diagnosed with treatable type A aortic dissection at another hospital after undergoing lumbar trigger point injection. On arrival at our hospital, there were no signs of hemodynamic deterioration. Additional careful medical re-interview and ultrasonography by anesthesiologists enabled a definitive diagnosis of acute kidney damage and hematoma caused by lumbar trigger point injection, and aortic dissection surgery was abandoned. CONCLUSION: This clinical case demonstrates the importance of awareness of potential kidney injury and hematoma during lumbar trigger point injection. Springer Berlin Heidelberg 2021-01-26 /pmc/articles/PMC7838220/ /pubmed/33496864 http://dx.doi.org/10.1186/s40981-021-00416-0 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Case Report Sato, Satoshi Tachibana, Shunsuke Okazaki, Kayoko Namba, Hitoshi Ichimiya, Takahiro Yamakage, Michiaki Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
title | Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
title_full | Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
title_fullStr | Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
title_full_unstemmed | Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
title_short | Careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
title_sort | careful medical interview and ultrasonography enabled detection of acute kidney injury and hematoma after lumbar trigger point injection—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7838220/ https://www.ncbi.nlm.nih.gov/pubmed/33496864 http://dx.doi.org/10.1186/s40981-021-00416-0 |
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