Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance
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 f...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/861961 |
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| author | Hiroto Kamoda Tetsuhiro Ishikawa Masayuki Miyagi Yawara Eguchi Sumihisa Orita Miyako Suzuki Yoshihiro Sakuma Yasuhiro Oikawa Kazuyo Yamauchi Gen Inoue Kazuhisa Takahashi Seiji Ohtori |
| author_facet | Hiroto Kamoda Tetsuhiro Ishikawa Masayuki Miyagi Yawara Eguchi Sumihisa Orita Miyako Suzuki Yoshihiro Sakuma Yasuhiro Oikawa Kazuyo Yamauchi Gen Inoue Kazuhisa Takahashi Seiji Ohtori |
| author_sort | Hiroto Kamoda |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-80084ced96534a8fa2c7d2b6eed77970 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-80084ced96534a8fa2c7d2b6eed779702025-02-03T01:31:57ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/861961861961Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal DisturbanceHiroto Kamoda0Tetsuhiro Ishikawa1Masayuki Miyagi2Yawara Eguchi3Sumihisa Orita4Miyako Suzuki5Yoshihiro Sakuma6Yasuhiro Oikawa7Kazuyo Yamauchi8Gen Inoue9Kazuhisa Takahashi10Seiji Ohtori11Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Kitasato University, School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0374, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, JapanWe 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.http://dx.doi.org/10.1155/2013/861961 |
| spellingShingle | Hiroto Kamoda Tetsuhiro Ishikawa Masayuki Miyagi Yawara Eguchi Sumihisa Orita Miyako Suzuki Yoshihiro Sakuma Yasuhiro Oikawa Kazuyo Yamauchi Gen Inoue Kazuhisa Takahashi Seiji Ohtori Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance Case Reports in Orthopedics |
| title | Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance |
| title_full | Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance |
| title_fullStr | Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance |
| title_full_unstemmed | Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance |
| title_short | Delayed Postoperative Epidural Hematoma Presenting Only with Vesicorectal Disturbance |
| title_sort | delayed postoperative epidural hematoma presenting only with vesicorectal disturbance |
| url | http://dx.doi.org/10.1155/2013/861961 |
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