The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Retroperitoneal Hematoma after Trigger Point Injections of Quadratus Lumborum -A case report-

요방형근(Quadratus Lumborum) 통증 유발점 주사 후 나타난 후복막 혈종 -증례 보고-

  • Shim, Jae-Yong (Department of Anesthesiology, College of Medicine The Catholic University of Korea) ;
  • Park, Chong-Min (Department of Anesthesiology, College of Medicine The Catholic University of Korea) ;
  • Bae, Man-Suck (Department of Anesthesiology, College of Medicine The Catholic University of Korea)
  • 심재용 (가톨릭대학교 의과대학 마취과학교실) ;
  • 박종민 (가톨릭대학교 의과대학 마취과학교실) ;
  • 배만석 (가톨릭대학교 의과대학 마취과학교실)
  • Published : 1999.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

We have observed retroperitoneal hematoma after trigger point injections of quadratus lumborum in a patient with chronic low back pain. Severe flank pain and dyspnea was observed three hours after injection of local anesthetic and steroid to the trigger point of quadratus lumborum muscle. There was fuge hematoma in abdominal CT image around the right kidney, which displaced and compressed the kidney anteriorly. Following infusion of contrast media, extravasation through renal vein and IVC was notified. Patient had a past history of having been treated with platelet aggregation inhibitor and lower dose aspirin treatment after cerebral ischemia for a year, but coagulative function was within normal range. Patient was admitted 12 days for bed rest, pain control and transfusion. We need to take greater care with a frequent aspiration and exact direction of needle, during trigger point injection of quadratus lumborum, particu right side, to avoid vascular injury.

Keywords