Clinical course of pain in a patient with neuropathic pain induced by ligation of an intercostal nerve

J Clin Anesth. 2010 Feb;22(1):50-1. doi: 10.1016/j.jclinane.2009.01.009.

Abstract

A patient with severe right chest pain and mechanical allodynia induced by an intercostal drainage tube to his chest is presented. It was not relieved by treatment with diclofenac sodium and was worsened by movement and touch to the right chest wall. Mechanical allodynia was also present. The patient's wrenching pain disappeared immediately after stitch removal, but the dull pain and mechanical allodynia persisted, gradually decreasing to zero in 7 days.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chest Tubes / adverse effects*
  • Humans
  • Hyperalgesia* / etiology
  • Hyperalgesia* / physiopathology
  • Intercostal Nerves / injuries*
  • Ligation / adverse effects
  • Male
  • Neuralgia* / etiology
  • Neuralgia* / physiopathology
  • Sutures / adverse effects
  • Treatment Outcome