Case ReportOpen Access

Late Retroperitoneal Haematoma after Psoas Compartment Block for Total Hip Arthroplasty

Volume 2 - Issue 3

**Calistri A*, Di Martino L, Gurzì MD, Ruggeri A, Fattorini F and Villani C**

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- Department of Anatomical, Histological, Universityof Rome Sapienza, Italy
*Corresponding author: Alessandro Calistri, Orthopaedic Surgeon, Department of Anatomical, Histological, Forensic Medicine and Orthopedic Science, University of Rome Sapienza, Piazzale Aldo Moro 5 00136 Rome, Italy

Received: January 27, 2018; Published: February 09, 2018

DOI: 10.26717/BJSTR.2018.02.000746

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Abstract

Objective: Post-operative anemia may be a compelling problem, sometimes sudden, of difficult diagnosis, that may be enhanced by underlying medical conditions, and that may influence therapeutic choices.

Case report: We present a case of sudden anemia (from 10.2 pt. to 7.3 pt. of HB in two days), after a total hip arthroplasty, performed under combined spinal and peripheral anesthesia, in a 70 years old woman who suffered from a coagulation disorder due to a rare genetic mutation (homozygosis for MTHFR C677T).

Conclusion: The anaemia was due to retroperitoneal hematoma with a pseudo aneurysm of the left lumbar artery, with active bleeding localized at L4, resolved by intervention of intravascular remobilization of the feeder artery of the pseudo aneurysm.

Keywords: Aneurysm; Replacement; Hip; Hematoma; Lumbar Plexus; Mthfrdeficiency