{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:34:24Z","timestamp":1787070864943,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Serious neurological problems following spinal anesthesia are rare, although they can occur. We report a case of a 31-year-old female patient, parturient, Gravida 2 Para 1, with a body mass index (BMI) of 25 kg\/m2 who had a paramedian approach spinal anesthesia using 23-gauge Quincke spinal needle for an emergent cesarean section due to failure to progress. Four attempts were required to achieve successful spinal blockade. The procedure was successfully performed with no complications. On the first postoperative day, the patient started to complain of pressure headache and abdominal pain radiating to the lower back. Magnetic resonance imaging (MRI) lumbar spine revealed right peri-nephric and retroperitoneal subacute hematoma and no evidence of cerebrospinal fluid (CSF) leak or collection. Computed tomography (CT) angiography affirmed the diagnosis of large retroperitoneal hematoma extending to inferior vena cava, measuring about 5 \u00d7 15 \u00d7 16 cm in its maximum antero-posterior, transverse, and cranio-caudal diameters, respectively, corresponding to about 620 ml volume. No active bleeding was demonstrated.<\/jats:p>","DOI":"10.4103\/sja.sja_350_24","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T01:54:07Z","timestamp":1735696447000},"page":"95-97","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Retroperitoneal hemorrhage following spinal anesthesia: A case report"],"prefix":"10.4103","volume":"19","author":[{"given":"Haneen","family":"Hawsawi","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamia","family":"ALjeraisy","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rothana","family":"Aljehani","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Jeddah, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majed","family":"Alharbi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dallah Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"R1-20260423","first-page":"642","article-title":"Spinal anesthesia for elective cesarean section. Bupivacaine associated with different doses of fentanyl: Randomized clinical trial","volume":"71","author":"Ferrarezi","year":"2021","journal-title":"Braz J Anesthesiol"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"114","DOI":"10.4103\/sja.sja_538_21","article-title":"Spontaneous intracranial hypotension following spinal anesthesia initially misdiagnosed as postdural puncture headache","volume":"16","author":"Lee","year":"2022","journal-title":"Saudi J Anaesth"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.bjae.2020.11.004","article-title":"Regional anaesthesia in patients at risk of bleeding","volume":"21","author":"Ashken","year":"2021","journal-title":"BJA Educ"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"51","DOI":"10.2147\/LRA.S300054","article-title":"The current practice of spinal anesthesia in anesthetists at a comprehensive specialized hospital: A single center observational study","volume":"14","author":"Hunie","year":"2021","journal-title":"Local Reg Anesth"},{"issue":"Suppl 1","key":"R5-20260423","doi-asserted-by":"crossref","first-page":"i96","DOI":"10.1093\/bja\/aer381","article-title":"Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy","volume":"107","author":"Horlocker","year":"2011","journal-title":"Br J Anaesth"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1213\/01.ANE.0000099361.89172.A7","article-title":"Retroperitoneal hematoma after spinal anesthesia with the paramedian approach","volume":"98","author":"Barak","year":"2004","journal-title":"Anesth Analg"},{"key":"R7-20260423","first-page":"e38971","article-title":"Spontaneous retroperitoneal hematoma after total hip arthroplasty","volume":"15","author":"DeLeon","year":"2023","journal-title":"Cureus"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_350_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:37:52Z","timestamp":1787067472000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_350_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_350_24","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-06-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}