Subcostal Transversus Abdominis Plane Phenol Injection for Abdominal Wall Cancer Pain
- 8 April 2013
- journal article
- case report
- Published by Wiley in Pain Practice
- Vol. 14 (3), 278-282
- https://doi.org/10.1111/papr.12065
Abstract
A subcostal transversus abdominis plane (TAP) phenol injection was performed on a patient with refractory cancer pain due a metastatic involvement of the abdominal wall. A diagnostic block with local anesthetic was performed under ultrasound guidance (USG), resulting in a decrease of 80% and 100% in dynamic and static visual analog scale (VAS) for pain, respectively, for 20 hours. A phenol injection was then performed under USG. The patient reported 70% and 100% reduction in the dynamic and static VAS for pain and had a 50% decrease in the opioid requirement that was maintained for 2 months. TAP blocks offer an interesting tool for either diagnosis or therapeutic purpose in chronic pain management. USG provides an optimal approach to soft‐tissue lesions where fluoroscopy techniques are not useful.Keywords
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