Ultrasound-guided rectus sheath block for anterior cutaneous nerve entrapment syndrome after laparoscopic surgery:A case report  

作　　者：Ryuji Sawada Kunitaro Watanabe Joho Tokumine Alan Kawarai Lefor Tadao Ando Tomoko Yorozu 

机构地区：[1]Department of Pain Clinic,NTT Medical Center Tokyo,Higashigotanda 141-8625,Tokyo,Japan [2]Department of Anesthesiology,Hino Municipal Hospital,Tamadaira 191-0062,Tokyo,Japan [3]Department of Anesthesiology,Kyorin University School of Medicine,Mitaka 181-8611,Tokyo,Japan [4]Department of Surgery,Jichi Medical University,Shimotsuke 329-0498,Tochigi,Japan

出　　处：《World Journal of Clinical Cases》2022年第7期2357-2362,共6页世界临床病例杂志

摘　　要：BACKGROUND Anterior cutaneous nerve entrapment syndrome is defined as abdominal pain due to entrapped intercostal nerves.This is the first report of a patient successfully treated for anterior cutaneous nerve entrapment syndrome after laparoscopic surgery with an ultrasound-guided rectus sheath block.The rectus sheath block physically lysed adhesions and relieved pain from anterior cutaneous nerve entrapment syndrome.CASE SUMMARY The patient is a 44-year-old man who presented with severe left upper abdominal pain at an operative scar one month after laparoscopic ulcer repair.Diagnosis and treatment were performed using an ultrasound-guided rectus sheath block with 0.1%lidocaine 20 mL.The pain was relieved after the block.The diagnosis was anterior cutaneous nerve entrapment syndrome.Rectus sheath block may be effective for patients with anterior cutaneous nerve entrapment syndrome.CONCLUSION Ultrasound-guided rectus sheath block is a promising treatment modality for patients with postoperative anterior cutaneous nerve entrapment syndrome due to adhesions.

关 键 词：Anterior cutaneous nerve entrapment syndrome Rectus sheath block HYDRODISSECTION Laparoscopic surgery Case report 

分 类 号：R656[医药卫生—外科学]