Bowel hematoma following an iliohypogastric‐ilioinguinal nerve block

Abstract

We report a case of a subserosal small bowel hematoma following an ilioinguinal-iliohypogastric nerve block for an appendicectomy in a 6-year-old girl. The bowel hematoma was noted in the wall of the terminal ileum after opening the peritoneum. The hematoma was nonobstructing and the child remained asymptomatic. We discuss the technical aspects of this block.

Bilateral multi-injection iliohypogastric-ilioinguinal nerve block in conjunction with neuraxial morphine is superior to neuraxial morphine alone for postcesarean analgesia

“…Although no complications were encountered in this study, rare reports of complications of ilioinguinal nerve blocks, such as bowel hematoma and femoral nerve palsy in patients undergoing appendectomy and herniorrhaphy, respectively, have appeared in the literature [20,21]. The growing use of ultrasound guidance for peripheral nerve blocks may make the performance of IHII blocks easier [22,23], increase their safety, improve block quality [24], and reduce the volumes of local anesthetic required [25][26][27].…”

Regional Anesthetic Techniques for the Pediatric Patient

“…At this location, the nerves are typically less than 1 cm deep and run between the internal oblique and transversus abdominis muscle. Serious complications are rare and include small-bowel or colonic perforation [ 121 ] . Transient femoral blockade resulting in motor weakness of the quadriceps can occur in up to 5% of patients if local anesthetic tracks inferior to the inguinal ligament [ 122 ] .…”

Ttransversus abdominis plane (TAP) blokada

“…Pirminės komplikacijos: nepavykusi TAP blokada (UG kontrolėje iki 5%), generalizuotos alerginės reakcijos dėl vietinio anestetiko toksišku-mo, intravaskulinė, intraneurinė, intraperitoninė injekcija (iki 3 proc. atvejų) [42], pilvo organų sužalojimas (kepenys, inkstai, blužnis, žarna) [43,44]. Antrinės komplikacijos: hematomos, infekcija, abscesas, neuropatija [45].…”