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KMID : 0356920110610040336
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Korean Journal of Anesthesiology
2011 Volume.61 No. 4 p.336 ~ p.340
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Epidural hematoma occurred by massive bleeding intraoperatively in cesarean section after combined spinal epidural anesthesia -A case report-
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Chung Ji-Hyun
Hwang Jin-Hwan
Cha Seung-Cheol
Jung Tae-Hyeng
Woo Seung-Chang
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Abstract
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We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because of massive bleeding intraoperatively in cesarean section. The preoperative coagulation laboratory finding was in normal range and so we tried combined spinal epidural anesthesia. Uterine atony occurred in the operation, and there was persistant bleeding during and after the operation. After the operation, she complained of paresthesia on her both legs and was diagnosed with epidural hematoma (EDH) by radiologic examination. Emergency laminectomy on lumbar spine was carried out for hematoma evacuation and decompression of the epidural space at once. In our experience, massive bleeding during surgery may potentially increase the risk of EDH postoperatively.
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KEYWORD
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Blood coagulation disorder, Cesarean section, Epidural anesthesia, Epidural hematoma, Postpartum hemorrhage, Spinal anesthesia
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