Postpartum headache after epidural anaesthesia: Who to blame?

2021 ◽  
Author(s):  
R. Dias ◽  
C. Ferreira ◽  
Â.B. Mendes ◽  
J. Marvão ◽  
N. Lages ◽  
...  
Keyword(s):  
Epidural Anaesthesia ◽  
Postpartum Headache

Extra-axial haemorrhage in a patient with Alport syndrome after epidural anaesthesia

2021 ◽  
Vol 14 (6) ◽  
pp. e242160
Author(s):  
Shanika Wijayanayaka ◽  
Abir Guha ◽  
Kanapathippillai Sivanesan ◽  
Mayooran Veerasingham
Keyword(s):  
Epidural Anaesthesia ◽  
Alport Syndrome ◽  
Dural Puncture ◽  
Cerebrospinal Fluid Leak ◽  
Clonic Seizure ◽  
Subdural Haemorrhage ◽  
Postdural Puncture Headache ◽  
Fluid Leak ◽  
Failure To Progress ◽  
Postpartum Headache

Extra-axial haemorrhage following epidural anaesthesia is extremely rare. We present the case of an 18-year-old G1P0 woman with Alport syndrome who had a ventouse delivery for failure to progress that was complicated by a postpartum tonic–clonic seizure. Clinically, and confirmed radiologically, the patient was found to have experienced an extra-axial haemorrhage (extradural and subdural haemorrhage) secondary to a cerebrospinal fluid leak caused by a dural puncture during epidural anaesthesia. Differentiating between postdural puncture headache, subdural haemorrhage and extradural haemorrhage can be extremely challenging, but it is important to consider these rare conditions when evaluating patients presenting with postpartum headache and seizure.

Hip replacement, hip seeding, and epidural anaesthesia

The Lancet ◽  
2005 ◽  
Vol 365 (9464) ◽  
pp. 1011-1012 ◽  
Author(s):  
N SHARROCK ◽  
E FINERTY
Keyword(s):  
Epidural Anaesthesia ◽  
Hip Replacement

A comparative study of dexmedetomidine and nalbuphine as an adjuvant to bupivacaine in lower limb surgeries done under epidural anaesthesia

2017 ◽  
Vol 3 (1) ◽  
pp. 34-42
Author(s):  
Sonali M Khobragade ◽  
◽  
Jagdish Kalbhor ◽  
Ruchi Saran ◽  
Sandhya Manjrekar ◽  
...  
Keyword(s):  
Comparative Study ◽  
Epidural Anaesthesia ◽  
Lower Limb

scholarly journals Bowel incarceration within the vaginal tunic in a three-and-half-year-old bilaterally cryptorchid Lhasa Apso

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Dorcas Oyueley Kodie ◽  
Noah Segun Oyetayo ◽  
Oladotun Solomon Awoyemi ◽  
Cecelia Omowunmi Oguntoye ◽  
Oghenemega David Eyarefe
Keyword(s):  
Risk Factor ◽  
Sertoli Cell ◽  
Epidural Anaesthesia ◽  
Spermatic Cord ◽  
Abdominal Cavity ◽  
Case Presentation ◽  
Spermatic Cord Torsion ◽  
Left Testicle ◽  
History Of ◽  
Sertoli Cell Tumours

Abstract Background Cryptorchidism in dogs is of clinical concern due to its association with development of Sertoli cell tumours, seminomas and spermatic cord torsion. A patent inguinal ring has been found as a risk factor for peritoneal content migration and inguinal hernias. This study reports a case of bowel migration through a patent inguinal ring in a bilaterally cryptorchid dog and incarceration within the vaginal tunic of the left testicle. Case presentation A three-and-a-half-year-old bilaterally cryptorchid Lhasa Apso with a history of anorexia, vomiting, stranguria and inability to defecate was diagnosed with bowel incarceration in the vaginal tunic of a retained left testicle. Surgery performed under epidural anaesthesia with acepromazine/butorphanol premedication revealed a loop of the colon entrapped in the vaginal tunic of the retained left testicle. The incarcerated bowel was thoroughly examined for viability and repositioned into the abdominal cavity. The inguinal ring was repaired and bilateral cryptorchidectomy performed. Conclusion Cryptorchidectomy in dogs is often considered when there is concern for neoplasm or torsion of retained testes. However, this report suggests that cryptorchidectomy should be considered also to preclude the possibility of bowel obstructive emergencies.

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