title: Postdural puncture headache with abdominal pain and diarrhea.
abstract: Dural puncture or a rent in the dura with prolonged cerebrospinal fluid leakage may cause noninfectious arachnoiditis and may be associated with urinary and fecal incontinence. Visceral dysfunction is common for patients with noninfectious arachnoiditis of the lumbosacral nerve roots after dural puncture. We report a case of postdural puncture headache associated with abdominal pain and diarrhea. An epidural blood patch was performed, and all symptoms resolved after 5 days. After exclusion of organic and psychological disorders, this treatment might be considered for patients who are experiencing abdominal pain and diarrhea after dural puncture.
authors.affiliation: *Division of Anesthesiology, Armed Forces Taoyuan General Hospital; Departments of †Anesthesiology and ‡Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China; and §Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
authors.forename: Chih-Ping
authors.initials: CP
authors.lastname: Yang
authors.forename: Chian-Her
authors.initials: CH
authors.lastname: Lee
authors.forename: Cecil O
authors.initials: CO
authors.lastname: Borel
authors.forename: Chun-Chang
authors.initials: CC
authors.lastname: Yeh
authors.forename: Chueng-He
authors.initials: CH
authors.lastname: Lu
authors.forename: Chih-Shung
authors.initials: CS
authors.lastname: Wong
authors.forename: Ching-Tang
authors.initials: CT
authors.lastname: Wu
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D017217:Blood Patch, Epidural; D003967:Diarrhea / Q000209:etiology*; D006261:Headache / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male
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