J Korean Pain Soc.  1994 Nov;7(2):270-272.

Hematoma in Neck after Stellate Ganglion Block

• Han YJ
• Choi H

Abstract

A 43 year old male patient injured in a traffic accident was admitted to the department of general surgery for the treatment of spleen rupture and multiple rib fractures. After subphrenic abscess occurred after splenectomy was treated. After 50 days of admission, left facial palsy occurred with sensory neural hearing loss, and tinnitus by longitudinal fracture of left temporal bone. The patients was consulted to pain clinic for further evaluation and treatment. The patient was treated with stellate ganglion block with 1% lidocaine 6ml one time daily. On 19th day, stellate ganglion block was given as usual, and the patient complained of pain in the neck and headache the next day. Two days later, mild fever elevation and hematoma in the neck were found. Hematoma was drained with hemovac. Ruptured muscular branch of vertebral artery was ligated surgically but the ligation was released in the next day and the hematoma was removed and the artery religated. Five units of packed RBC were transfused during the period and the patient was discharged without any sequelae.

Keyword

Stellate ganglion block; Hematoma

MeSH Terms

Accidents, Traffic
Adult
Arteries
Facial Paralysis
Fever
Headache
Hearing Loss
Hematoma*
Humans
Lidocaine
Ligation
Male
Neck*
Pain Clinics
Rib Fractures
Rupture
Spleen
Splenectomy
Stellate Ganglion*
Subphrenic Abscess
Temporal Bone
Tinnitus
Vertebral Artery
Lidocaine