Clinical course of pain in a patient with neuropathic pain induced by ligation of an intercostal nerve.
A patient with severe right chest pain and mechanical allodynia induced by an intercostal drainage tube to his chest is presented. It was not relieved by treatment with diclofenac sodium and was worsened by movement and touch to the right chest wall. Mechanical allodynia was also present. The patient's wrenching pain disappeared immediately after stitch removal, but the dull pain and mechanical allodynia persisted, gradually decreasing to zero in 7 days.
Kato
Jitsu
J
Department of Anesthesiology, Nihon University Itabashi Hospital, Tokyo 173-8610, Japan. jitukato@med.nihon-u.ac.jp <jitukato@med.nihon-u.ac.jp>
Gokan
Dai
D
Hirose
Noriya
N
Baba
Miyako
M
Ehara
Toru
T
Ogawa
Setsuro
S
D000368:Aged; D015505:Chest Tubes / Q000009:adverse effects*; D006801:Humans; D006930:Hyperalgesia / Q000209:etiology / Q000503:physiopathology; D007367:Intercostal Nerves / Q000293:injuries*; D008026:Ligation / Q000009:adverse effects; D008297:Male; D009437:Neuralgia / Q000209:etiology / Q000503:physiopathology; D013537:Sutures / Q000009:adverse effects; D016896:Treatment Outcome