Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy.

Authors

• Jun H Song
• Joshua R Kaplan
• Daniel Abbott
• Eric Gewirtz
• Ellen Hauck
• Daniel D Eun

Publication/Presentation Date

1-1-2016

Abstract

Obturator nerve injury is a known injury after robot-assisted laparoscopic radical prostatectomy (RALP) and patients often present with motor and sensory deficits in the immediate postoperative period. We describe a 65-year-old male who presented with motor deficits, indicative of obturator neurapraxia after RALP upon waking from anesthesia. Work-up revealed an expansile hematoma possibly compressing the obturator nerve. After evacuation of the hematoma, the patient had immediate improvement of his neurologic deficits. Our patient's clinical vignette illustrates the importance of considering postsurgical hematoma in the differential diagnosis when patients present with signs and symptoms of obturator neurapraxia after RALP.

Volume

2

Issue

1

First Page

141

Last Page

143

ISSN

2379-9889

Published In/Presented At

Song, J. H., Kaplan, J. R., Abbott, D., Gewirtz, E., Hauck, E., & Eun, D. D. (2016). Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy. Journal of endourology case reports, 2(1), 141–143. https://doi.org/10.1089/cren.2016.0075

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

27579444

Department(s)

Administration and Leadership

Document Type

Article