Case Reports
Delayed retroperitoneal haematoma after failed lumbar plexus block

https://doi.org/10.1093/bja/aeh242Get rights and content
Under an Elsevier user license
open archive

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

Cited by (0)