A case of acute post-laparoscopy bowel hypermotility and treatment with hyoscine butylbromide.
Post-laparoscopic pain is multi-factorial and many modes of perioperative analgesia have been proposed. We present the case of a patient who experienced severe abdominal pain following gynaecologic laparoscopy. Repeat laparoscopy revealed small bowel hypermotiliy which was successfully treated with intravenous (i.v.) hyoscine butylbromide. Neostigmine, a widely used muscle relaxant reversal agent, is known to increase small bowel motility. Intravenous hyoscine butylbromide is a rapid treatment of neostigmine-induced small bowel hypermotility post-laparoscopy.
Department of Obstetrics and Gynaecology, Jessop Wing, Royal Hallamshire Hospital, Sheffield. tess.bonnett@virgin.net
Tessa J
TJ
Bonnett
Hany
H
Lashen
D015746:Abdominal Pain / Q000209:etiology; D002086:Butylscopolammonium Bromide / Q000627:therapeutic use*; D005260:Female; D005769:Gastrointestinal Motility / Q000187:drug effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D009388:Neostigmine / Q000009:adverse effects; D010276:Parasympatholytics / Q000627:therapeutic use*; D010277:Parasympathomimetics / Q000009:adverse effects*; D055815:Young Adult
D010276:Parasympatholytics; D010277:Parasympathomimetics; D002086:Butylscopolammonium Bromide; D009388:Neostigmine