Journal of Bone and Joint Surgery, 1973;55:202-207.
© 1973 by The Journal of Bone and Joint Surgery, Inc
Severe Infections Following Pudendal Block Anesthesia: Need for Orthopaedic Awareness
DENNIS R. WENGER M.D.1 and
ROBERT G. GITCHELL M.D.1
1 From the Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City
Subgluteal and retropsoal infections following pudendal or paracervical block anesthesia are a devastating complication of the postpartum period. This case report illustrates the confusing clinical picture and the problems in management of this severe infection. A review of the morbidity and mortality in six previously reported cases demonstrates the necessity of early surgical intervention. Unaware of this obstetrical complication. the orthopaedic consultant may delay diagnosis and treatment.