ヤマウチ　カヅヨ   YAMAUCHI Kadzuyo   山内　かづ代    所属   医学部 医学科    職種   評議員
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Delayed postoperative epidural hematoma presenting only with vesicorectal disturbance.
掲載誌名	正式名：Case reports in orthopedics 略　 称：Case Rep Orthop ISSNコード：(2090-6749)2090-6757(Linking)
掲載区分	国外
巻・号・頁	2013,pp.861961
著者・共著者	Kamoda Hiroto, Ishikawa Tetsuhiro, Miyagi Masayuki, Eguchi Yawara, Orita Sumihisa, Suzuki Miyako, Sakuma Yoshihiro, Oikawa Yasuhiro, Yamauchi Kazuyo, Inoue Gen, Takahashi Kazuhisa, Ohtori Seiji
発行年月	2013
概要	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.
DOI	10.1155/2013/861961
PMID	24073350