title: Implantation of an intercostal nerve stimulator for chronic abdominal pain.
abstract: Chronic abdominal pain is not uncommon and can be difficult to manage. We present the case of a 17-year-old man with a 4-year history of chronic abdominal pain. The patient had previously undergone abdominal surgery by way of laparoscopic appendicectomy and right nephrectomy for a mal-rotated kidney. The patient continued to suffer right-sided abdominal pain which was not controlled by analgesia. We report the successful implantation of a right D11 intercostal nerve stimulator to control the patient's pain. This is the first report of an implantable intercostal nerve stimulator to control intractable chronic abdominal pain.
authors.affiliation: Nuffield Department of Surgery, University of Oxford and Oxford Functional Neurosurgery, John Radcliffe Hospital, Oxford, UK. reuben.johnson@doctors.org.uk
authors.forename: R D
authors.initials: RD
authors.lastname: Johnson
authors.forename: A L
authors.initials: AL
authors.lastname: Green
authors.forename: T Z
authors.initials: TZ
authors.lastname: Aziz
mesh_terms: D015746:Abdominal Pain / Q000628:therapy*; D000293:Adolescent; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D006801:Humans; D007367:Intercostal Nerves / Q000503:physiopathology*; D008297:Male; D010148:Intractable Pain / Q000628:therapy*