Femoral neuropathy following retroperitoneal hemorrhage: Case series and review of the literature

Shane S. Parmer, Jeffrey P. Carpenter, Ronald M. Fairman, Omaida C. Velazquez, Marc E. Mitchell

Research output: Contribution to journalArticle

56 Scopus citations

Abstract

Femoral neuropathy due to retroperitoneal hematoma has been infrequently described in the literature. While occasionally due to trauma, it has been most commonly reported in association with various bleeding diatheses and therapeutic anticoagulation. As the indications for the use of anticoagulants and antiplatelet agents increase, associated hemorrhagic complications will likely also increase. The management of retroperitoneal hematoma with consequent femoral nerve palsy remains controversial. We present a series of four cases of femoral nerve palsy due to retroperitoneal hematoma managed by surgical decompression. Hematoma evacuation at the time of the development of femoral neuropathy results in immediate benefit, with greater likelihood of a return to pre-event neurological status. Delays in operative treatment, despite the presence of a neurological deficit, may lead to significant and prolonged neurological dysfunction. Surgical decompression should be highly considered in all patients who develop femoral neuropathy from a retroperitoneal hematoma.

Original languageEnglish (US)
Pages (from-to)536-540
Number of pages5
JournalAnnals of Vascular Surgery
Volume20
Issue number4
DOIs
StatePublished - Jul 2006
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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