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

Research output: Contribution to journalArticle

3 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 languageEnglish
Pages (from-to)257-260
Number of pages4
JournalA & A case reports
Volume8
Issue number10
DOIs
Publication statusPublished - May 15 2017

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HELLP Syndrome
Abdominal Muscles
Hematoma
Platelet Count
Antithrombin III
Disseminated Intravascular Coagulation
Vascular System Injuries
Hemolysis
Ultrasonography
Tomography
Liver
Enzymes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hematoma After Transversus Abdominis Plane Block in a Patient With HELLP Syndrome : A Case Report. / Shirozu, Kazuhiro; Kuramoto, Sumiko; Kido, Saki; Hayamizu, Kengo; Karashima, Yuji; Hoka, Sumio.

In: A & A case reports, Vol. 8, No. 10, 15.05.2017, p. 257-260.

Research output: Contribution to journalArticle

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