Intractable Abdominal Pain in a Patient With Spinal Cord Injury: A Case Report.
10.5535/arm.2013.37.5.721
- Author:
Hye Kyung PARK
1
;
Dae Heon SONG
;
Young Moon KIM
;
Hong Geum KIM
;
Soo Yeon KIM
;
Myung Eun CHUNG
Author Information
1. Department of Rehabilitation Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. coltrane@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Abdominal pain;
Neuropathic pain;
Spinal cord injuries
- MeSH:
Abdomen;
Abdominal Pain*;
Chronic Pain;
Constipation;
Humans;
Lidocaine;
Neuralgia;
Spinal Cord Injuries*;
Spinal Cord*;
Visceral Pain
- From:Annals of Rehabilitation Medicine
2013;37(5):721-724
- CountryRepublic of Korea
- Language:English
-
Abstract:
Patients with spinal cord injury (SCI) may experience several types of chronic pains. Abdominal pain in patients with SCI has gained limited attention and little is yet known about its characteristics and mechanisms. It often has been regarded as visceral pain associated with constipation and distention. Neuropathic pains localized in the abdomen have rarely been reported. We experience a case of intractable abdominal pain in a patient with SCI, neither of visceral pathology nor of musculoskeletal origin. The nature of pain fulfilled the diagnostic criteria for neuropathic pains. The pain was therefore regarded as neuropathic and managed accordingly. The first- and second-line oral drugs available were being performed, unfortunately, adequate pain control was not achieved. We tried an intrathecal lidocaine injection as another treatment option, and the injection had considerable effects.
