title: Neurolytic transversus abdominis plane block in the palliative treatment of intractable abdominal wall pain.
abstract: A 45 year old man with metastatic colon cancer presented with uncontrollable abdominal wall pain. Transversus abdominis plane (TAP) block with ropivacaine and methylprednisolone was performed with excellent pain relief, which allowed a significant weaning of the patient's opioid requirements. A second TAP block was performed with a 33% ethanol solution (ethanol and ropivacaine) with excellent pain relief. The neurolytic block appeared to offer better pain control for more than 5 days after placement until the patient finally succumbed to his illness.
authors.affiliation: Department of Anesthesia, Indiana University School of Medicine, Indianapolis, IN 46202, USA. bryan.sakamoto@va.gov
authors.forename: Bryan
authors.initials: B
authors.lastname: Sakamoto
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kuber
authors.forename: Kenneth
authors.initials: K
authors.lastname: Gwirtz
authors.forename: Ahmed
authors.initials: A
authors.lastname: Elsahy
authors.forename: Michael
authors.initials: M
authors.lastname: Stennis
mesh_terms: D015746:Abdominal Pain / Q000188:drug therapy* / Q000209:etiology; D034861:Abdominal Wall; D000577:Amides / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage; D003110:Colonic Neoplasms / Q000150:complications* / Q000473:pathology; D000431:Ethanol / Q000008:administration & dosage; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009407:Nerve Block / Q000379:methods*; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000701:Analgesics, Opioid; D005938:Glucocorticoids; D000431:Ethanol; D000077212:Ropivacaine; D008775:Methylprednisolone