Major Perirectal Hematoma Complicating Sacroiliac Joint Injection

Adıgüzel, Emre; Kesikburun, Serdar; Yaşar, Evren

doi:10.3109/10582452.2014.883032

Cited by 2 publications

(2 citation statements)

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“…One previous case report emphasized that serious complications such as osteomyelitis, spinal epidural abscess, meningitis, and endocarditis can happen after this procedure (2). Additionally, another case report highlighted the development of a major hematoma after a sacroiliac joint injection in a patient who was not on blood thinners but had an anatomical variation (3). This case exposes the development of a major hematoma and neurologic symptoms after a fluoroscopically guided sacroiliac joint injection in a patient who was taking warfarin.…”

Section: Introductionmentioning

confidence: 77%

“…Although a previously published case report suggested that anatomical variations can result in hematoma formation after a sacroiliac joint injection (3), we do not believe this was a possibility in our patient's scenario because she had previously received bilateral sacroiliac joint injection without hematoma formation. However, the experience of the previous provider may confound this observation (3). Since the same provider performed the repetitive sacroiliac joint injection, the most likely explanation for the development of this remarkable hematoma lies in the interaction between the trauma of the procedure and a potential clotting problem induced by warfarin.…”

Section: Discussionmentioning

confidence: 99%

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Hematoma After a Fluoroscopically Guided Sacroiliac Joint Injection: A Case Report

Orhurhu¹

2021

PMCR

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Background: Sacroiliac joint injection continues to play a role in the diagnosis and therapeutic management of patients with sacroiliac joint arthropathy, as it provides pain relief and improvement in function to those patients. It is considered a low-risk pain procedure with minimal to no adverse side effects. Although rare, serious com-plications such as infection and hematoma are a possibility, however. In anticoagulated patients, interventional pain physicians are advised to weigh the risks and benefits before discontinuing anticoagulation. The literature describes serious complications associated with stopping anticoagulation, such as myocardial infarction. Howev-er, we should also be mindful of the possibility of intramuscular hematoma formation in anticoagulated patients receiving a fluoroscopically guided sacroiliac joint injection. Case Report: This case exposes the development of a 300-mL hematoma in the right gluteus maximus muscle after a fluoro-scopically guided sacroiliac joint injection in a patient who was taking warfarin. Consequently, she also developed neurologic symptoms such as new-onset urinary retention, weakness, and decreased sensation in her right leg. Conclusion: Pain physicians should be mindful of the risks and benefits before deciding to hold or discontinue anticoagulation in patients undergoing fluoroscopically guided sacroiliac joint injection, as intramuscular hematomas are a possible complication. Key words: Anticoagulation, hematoma, sacroiliac joint arthropathy, sacroiliac joint injection complications

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Section: Introductionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%