Protracted pain following partial splenic embolization in an adolescent female with hypersplenism.
A 17-year-old female with massive splenomegaly underwent partial splenic embolization (PSE) for hypersplenism. The postoperative course was characterized by recurrent painful splenic infarctions requiring hydromorphone PCA for an extended period resulting in an unanticipated, prolonged hospital stay. Massive splenomegaly treated with PSE may require an extended hospital stay to achieve pain control. Such patients may subsequently require transition to enteral opioids and weaning.
Ganesh
Arjunan
A
Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, Philadelphia, PA 19010, USA. ganesha@email.chop.edu
Rose
John B
JB
Maxwell
Lynne G
LG
D000293:Adolescent; D000701:Analgesics, Opioid / Q000627:therapeutic use; D021721:Balloon Occlusion / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D004091:Hydromorphone / Q000627:therapeutic use; D006971:Hypersplenism / Q000000981:diagnostic imaging / Q000628:therapy*; D010146:Pain / Q000188:drug therapy / Q000209:etiology*; D013163:Splenomegaly / Q000628:therapy*; D014057:Tomography, X-Ray Computed
D000701:Analgesics, Opioid; D004091:Hydromorphone