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Koniuch KL, Harris B, Buys MJ, et al. Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban. Case Rep Anesthesiol. 2018;2018:7653202doi: 10.1155/2018/7653202.
Koniuch, K. L., Harris, B., Buys, M. J., & Meier, A. W. (2018). Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban. Case reports in anesthesiology, 20187653202. https://doi.org/10.1155/2018/7653202
Koniuch, Katherine L, et al. "Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban." Case reports in anesthesiology vol. 2018 (2018): 7653202. doi: https://doi.org/10.1155/2018/7653202
Koniuch KL, Harris B, Buys MJ, Meier AW. Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban. Case Rep Anesthesiol. 2018 Aug 13;2018:7653202. doi: 10.1155/2018/7653202. eCollection 2018. PMID: 30186636; PMCID: PMC6110037.
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Case Rep Anesthesiol. 2018 Aug 13;2018:7653202. doi: 10.1155/2018/7653202. eCollection 2018.

Case Report of a Massive Thigh Hematoma after Adductor Canal Block in a Morbidly Obese Woman Anticoagulated with Apixaban.

Case reports in anesthesiology

Katherine L Koniuch, Bradley Harris, Michael J Buys, Adam W Meier

Affiliations

  1. University of Utah Department of Anesthesiology, USA.

PMID: 30186636 PMCID: PMC6110037 DOI: 10.1155/2018/7653202

Abstract

Hematoma formation after peripheral nerve block placement is a rare event. We report a case of a morbidly obese patient who was anticoagulated with apixaban and developed a massive thigh hematoma after an ultrasound-guided adductor canal block. Despite continuous visualization of the block needle, an unrecognized vascular injury occurred leading to a 14-cm hematoma in the anterolateral thigh. Morbid obesity warrants additional risk consideration when placing nerve blocks in an anticoagulated patient. In addition, early recognition and expert consultation are both important in the management of block-related hematomas.

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