Identification of perineural cysts during ultrasound‐guided caudal anaesthesia

Summary An 8‐year‐old boy was scheduled for urethral fistula correction under general anaesthesia with an ultrasound‐guided caudal block. During scanning of the caudal area, we noticed two cystic structures in the caudal space in the region of the intended needle endpoint so we decided against perfo...

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Bibliographic Details
Published inAnaesthesia reports Vol. 8; no. 2; pp. 156 - 158
Main Authors Maniar, A., Upadhye, V., Sai Prasad, T. R.
Format Journal Article
LanguageEnglish
Published England John Wiley and Sons Inc 01.07.2020
Subjects
Case Report
caudal anaesthesia
regional anaesthesia
regional anaesthesia
caudal anaesthesia
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Summary:Summary An 8‐year‐old boy was scheduled for urethral fistula correction under general anaesthesia with an ultrasound‐guided caudal block. During scanning of the caudal area, we noticed two cystic structures in the caudal space in the region of the intended needle endpoint so we decided against performing the caudal block. Surgery was conducted uneventfully and a penile block was administered as an alternative for analgesia postoperatively. Radiological evaluation of the child 3 weeks later revealed the presence of perineural cysts in the sacral region. Routine use of ultrasound for caudal anaesthesia procedures may reveal unexpected anomalies in the sacral area, which could have implications for optimal patient management.
ISSN:2637-3726
2637-3726
DOI:10.1002/anr3.12081