Abstract

Epidural catheters are commonly used after surgery to manage pain effectively, but they carry risks, including complications like epidural hematomas and abscesses. Although these complications are rare, if left untreated, they can cause severe neurological damage. In contrast to epidural hematomas, intramuscular and subcutaneous hematomas are less risky but can be challenging to diagnose. This report discusses two cases of subcutaneous hematomas that occurred 24 hours following the removal of epidural catheters, highlighting the importance of close monitoring and collaboration among medical teams. Case 1 involves a young male with a complex medical history who underwent an exploratory laparotomy, while Case 2 involves a pediatric patient who underwent nephroureterectomy. The placement of the epidural catheters was uneventful.   None of these patients had a coagulation disorder or received anticoagulation treatment. Both cases illustrate the diagnosis and management of subcutaneous hematomas, emphasizing the importance of early identification, differentiation from abscesses, and appropriate treatment. This report aims to increase awareness among healthcare providers about this uncommon but significant postoperative complication and to emphasize the importance of proactive management and patient education in ensuring a successful recovery.

Keywords

Epidural Catheter, Subcutaneous Hematoma, Bleeding Complications, Ultrasound, Back Swelling, Back Discoloration