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dc.contributor.authorAl-Hilli, Z
dc.contributor.authorDeasy, J
dc.contributor.authorKeaveny, J
dc.date.accessioned2011-04-07T08:31:18Z
dc.date.available2011-04-07T08:31:18Z
dc.date.issued2010-09
dc.identifier.citationFlank hernia secondary to phenol nerve block. 2010, 179 (3):451-3 Ir J Med Scien
dc.identifier.issn1863-4362
dc.identifier.pmid19347390
dc.identifier.doi10.1007/s11845-009-0312-x
dc.identifier.urihttp://hdl.handle.net/10147/127614
dc.description.abstractThe management of patients with chronic pain is challenging. The aim of treatment is alleviation of symptoms in an attempt to increase functional capacity. Interventional procedures, such as chemical neurolysis are adopted when other techniques fail to provide adequate pain control.
dc.description.abstractAn 82-year-old man presented with a history of chronic left sided abdominal pain. This was initially treated with central nerve blockade. His symptoms persisted and he was scheduled for an intercostal neurolytic block with 6% aqueous phenol. Following the procedure, he experienced further abdominal pain and developed a painful left flank swelling. CT scan, ultrasound scan, and colonoscopy excluded the presence of an organic cause, such as intra-abdominal pathology. A left flank hernia was subsequently diagnosed. Conservative management was employed. Surgical repair will be implemented should conservative measures fail to control symptoms.
dc.description.abstractThis case raises our awareness of a complication that may occur with phenol intercostal neurolysis.
dc.language.isoenen
dc.subject.meshAbdominal Pain
dc.subject.meshAbdominal Wall
dc.subject.meshAged, 80 and over
dc.subject.meshAutonomic Nerve Block
dc.subject.meshChronic Disease
dc.subject.meshHernia, Abdominal
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshPhenol
dc.titleFlank hernia secondary to phenol nerve block.en
dc.typeArticleen
dc.contributor.departmentDepartment of General Surgery, Beaumont Hospital, Dublin 9, Ireland.en
dc.identifier.journalIrish journal of medical scienceen
dc.description.provinceLeinster
html.description.abstractThe management of patients with chronic pain is challenging. The aim of treatment is alleviation of symptoms in an attempt to increase functional capacity. Interventional procedures, such as chemical neurolysis are adopted when other techniques fail to provide adequate pain control.
html.description.abstractAn 82-year-old man presented with a history of chronic left sided abdominal pain. This was initially treated with central nerve blockade. His symptoms persisted and he was scheduled for an intercostal neurolytic block with 6% aqueous phenol. Following the procedure, he experienced further abdominal pain and developed a painful left flank swelling. CT scan, ultrasound scan, and colonoscopy excluded the presence of an organic cause, such as intra-abdominal pathology. A left flank hernia was subsequently diagnosed. Conservative management was employed. Surgical repair will be implemented should conservative measures fail to control symptoms.
html.description.abstractThis case raises our awareness of a complication that may occur with phenol intercostal neurolysis.


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