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BJA Advance Access published online on August 20, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh242
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted May 17, 2004

Case Report

Delayed retroperitoneal haematoma after failed lumbar plexus block

C. Aveline 1* F. Bonnet 2

1 Département d'Anesthésie-Réanimation, Polyclinique Sévigné, 3 rue du Chéne Germain, F-35510 CESSON-SEVIGNE, France
2 Département d'Anesthésie-Réanimation, Hôpital Tenon, 4 rue de la Chine, F-75020 Paris, France

* To whom correspondence should be addressed. E-mail: caveline{at}club-internet.fr.


  Abstract

A 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.

Keywords: anaesthetic techniques, regional, lumbar plexus; complications, haematoma.
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