Hematoma After Transversus Abdominis Plane Block in a Patient With HELLP Syndrome: A Case Report

Kazuhiro Shirozu; Sumiko Kuramoto; Saki Kido; Kengo Hayamizu; Yuji Karashima; Sumio Hoka

doi:10.1213/XAA.0000000000000487

Hematoma After Transversus Abdominis Plane Block in a Patient With HELLP Syndrome: A Case Report

Kazuhiro Shirozu, Sumiko Kuramoto, Saki Kido, Kengo Hayamizu, Yuji Karashima, Sumio Hoka

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11 Citations (Scopus)

Abstract

We herein present a case of intramuscular hematoma that developed after transversus abdominis plane block in a patient undergoing cesarean delivery. The patient had HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) preoperatively. Ultrasonography-guided transversus abdominis plane block was performed at the end of surgery. Postoperatively, the platelet count and antithrombin III level decreased, and computed tomography revealed intramuscular hematomas that possibly were related to vascular injury and potential disseminated intravascular coagulation. We should be mindful of the possibility of intramuscular hematoma formation in patients with HELLP syndrome, even when using ultrasound guidance.

Original language	English
Pages (from-to)	257-260
Number of pages	4
Journal	A & A case reports
Volume	8
Issue number	10
DOIs	https://doi.org/10.1213/XAA.0000000000000487
Publication status	Published - May 15 2017

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1213/XAA.0000000000000487

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abstract = "We herein present a case of intramuscular hematoma that developed after transversus abdominis plane block in a patient undergoing cesarean delivery. The patient had HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) preoperatively. Ultrasonography-guided transversus abdominis plane block was performed at the end of surgery. Postoperatively, the platelet count and antithrombin III level decreased, and computed tomography revealed intramuscular hematomas that possibly were related to vascular injury and potential disseminated intravascular coagulation. We should be mindful of the possibility of intramuscular hematoma formation in patients with HELLP syndrome, even when using ultrasound guidance.",

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AU - Shirozu, Kazuhiro

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AU - Kido, Saki

AU - Hayamizu, Kengo

AU - Karashima, Yuji

AU - Hoka, Sumio

PY - 2017/5/15

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N2 - We herein present a case of intramuscular hematoma that developed after transversus abdominis plane block in a patient undergoing cesarean delivery. The patient had HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) preoperatively. Ultrasonography-guided transversus abdominis plane block was performed at the end of surgery. Postoperatively, the platelet count and antithrombin III level decreased, and computed tomography revealed intramuscular hematomas that possibly were related to vascular injury and potential disseminated intravascular coagulation. We should be mindful of the possibility of intramuscular hematoma formation in patients with HELLP syndrome, even when using ultrasound guidance.

AB - We herein present a case of intramuscular hematoma that developed after transversus abdominis plane block in a patient undergoing cesarean delivery. The patient had HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) preoperatively. Ultrasonography-guided transversus abdominis plane block was performed at the end of surgery. Postoperatively, the platelet count and antithrombin III level decreased, and computed tomography revealed intramuscular hematomas that possibly were related to vascular injury and potential disseminated intravascular coagulation. We should be mindful of the possibility of intramuscular hematoma formation in patients with HELLP syndrome, even when using ultrasound guidance.

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Hematoma After Transversus Abdominis Plane Block in a Patient With HELLP Syndrome: A Case Report

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