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Colombian Journal of Anestesiology
Print version ISSN 0120-3347
Abstract
SOTO-MESA, Diego; HERRERA-SOTO, Aurora; BERMEJO-ALVAREZ, Miguel Ángel and ARGUELLES-TAMARGO, Luis. Retroperitoneal haematoma following diagnostic lumbar puncture. Clinical case. Rev. colomb. anestesiol. [online]. 2016, vol.44, n.1, pp.44-47. ISSN 0120-3347.
Introduction: Iatrogenic retroperitoneal haematoma is an infrequent but serious complication of certain surgical procedures. Case presentation: We present the case of a female who developed retroperitoneal haemorrhage after an intradural lumbar puncture, resulting in multiple-organ failure. The diagnosis and treatment of this complication was more difficult than usual because of the presence of bilateral subclavian artery stenosis. Conclusion: Early diagnosis and prompt treatment with either conservative or interventional management is essential in order to decrease associated morbidity. Bilateral non-invasive arterial pressure measurements should be routinely performed in all cases, especially in patients with peripheral artery disease.
Keywords : Spinal puncture; Haematoma; constriction pathologic; shock; Surgical procedures operative.