Life-threatening haemorrhage following obturator artery injury during transurethral bladder surgery: a sequel of an unsuccessful obturator nerve block.

@article{Akata1999LifethreateningHF,
  title={Life-threatening haemorrhage following obturator artery injury during transurethral bladder surgery: a sequel of an unsuccessful obturator nerve block.},
  author={Takashi Akata and Jun Murakami and Akihiko Yoshinaga},
  journal={Acta anaesthesiologica Scandinavica},
  year={1999},
  volume={43 7},
  pages={784-8}
}
In spite of prior blockade of the obturator nerve with 1% mepivacaine (8 ml) utilizing a nerve stimulator, violent leg jerking was evoked during transurethral electroresection of a bladder tumour approximately 1 h after the blockade in a 68-year-old man. The patient became severely hypotensive immediately following the jerking, and a large lower abdominal swelling concurrently developed. The urgent laparotomy indicated that the left obturator artery was severely injured by the resectoscope… CONTINUE READING

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