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Korean J Anesthesiol. 2011 Jul;61(1):79-82. English. Case Report.
Choi JW , Joo EY , Lee SH , Lee CJ , Kim TH , Sim WS .
Department of Anesthesiology and Pain Meidicine, Samsung Seoul Hospital, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
ZEIN (zeropian) Pain Treatment Clinic, Seoul, Korea. ccjlee.mdphd@gmail.com
Abstract

The thoracic splanchnic nerve block has been used in managing abdominal pain, especially for pains arising from abdominal cancers. A 27-year-old male patient who had a constant abdominal pain was referred to our clinic for pain management but had no organic disease. The numeric rating scale (NRS) for pain scored 7/10. We applied a diagnostic thoracic splanchnic nerve block under the diagnosis of functional abdominal pain syndrome. Since the block reduced the pain, we applied a radiofrequency thermocoagulation at the T11 and T12 vertebral level. Thereafter, his symptoms improved markedly with pain decreasing to an NRS score of 2-3/10. Hereby, we report a successful management of functional abdominal pain via radiofrequency thermocoagulation of the thoracic splanchnic nerves.

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