Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance
Joint Authors
Takahashi, Kazuhisa
Yamauchi, Kazuyo
Ohtori, Seiji
Eguchi, Yawara
Suzuki, Miyako
Sakuma, Yoshihiro
Kamoda, Hiroto
Oikawa, Yasuhiro
Miyagi, Masayuki
Ishikawa, Tetsuhiro
Inoue, Gen
Orita, Sumihisa
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We present a rare case of delayed onset of epidural hematoma after lumbar surgery whose only presenting symptom was vesicorectal disturbance.
A 68-year-old man with degenerative spinal stenosis underwent lumbar decompression and instrumented posterolateral spine fusion.
The day after his discharge following an unremarkable postoperative course, he presented to the emergency room complaining of difficulty in urination.
An MRI revealed an epidural fluid collection causing compression of the thecal sac.
The fluid was evacuated, revealing a postoperative hematoma.
After removal of the hematoma, his symptoms disappeared immediately, and his urinary function completely recovered.
Most reports have characterized postoperative epidural hematoma as occurring early after operation and accompanied with neurological deficits.
But it can happen even two weeks after spinal surgery with no pain.
Surgeons thus may need to follow up patients for at least a few weeks because some complications, such as epidural hematomas, could take that long to manifest themselves.
American Psychological Association (APA)
Kamoda, Hiroto& Ishikawa, Tetsuhiro& Miyagi, Masayuki& Eguchi, Yawara& Orita, Sumihisa& Suzuki, Miyako…[et al.]. 2013. Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance. Case Reports in Orthopedics،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-504240
Modern Language Association (MLA)
Kamoda, Hiroto…[et al.]. Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance. Case Reports in Orthopedics No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-504240
American Medical Association (AMA)
Kamoda, Hiroto& Ishikawa, Tetsuhiro& Miyagi, Masayuki& Eguchi, Yawara& Orita, Sumihisa& Suzuki, Miyako…[et al.]. Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance. Case Reports in Orthopedics. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-504240
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504240