Median arcuate ligament syndrome--a novel treatment using an intrathecal morphine pump to relieve intractable visceral pain.
Publication/Presentation Date
1-1-2008
Abstract
PURPOSE: Median arcuate ligament syndrome, which presents with intractable visceral pain, is difficult to both diagnose and treat. This case report describes the first use of an intrathecal morphine pump as an effective therapeutic intervention.
CLINICAL FEATURES: We describe a 39-year-old female who presented with a four-year history of misdiagnosed debilitating abdominal pain. After multiple failed attempts at medical management and surgeries, a trial of intrathecal narcotics provided significant relief. Six months after insertion of an intrathecal morphine pump, the patient was pain-free and had resumed all activities of daily living.
CONCLUSION: The use of an intrathecal narcotic pump should be considered for treatment of patients with intractable visceral pain secondary to median arcuate ligament syndrome.
Volume
8
Issue
2
First Page
133
Last Page
137
ISSN
1533-2500
Published In/Presented At
Guttman, O. T., Rosenblatt, M. A., & Mims, T. (2008). Median arcuate ligament syndrome--a novel treatment using an intrathecal morphine pump to relieve intractable visceral pain. Pain practice : the official journal of World Institute of Pain, 8(2), 133–137. https://doi.org/10.1111/j.1533-2500.2007.00166.x
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
18194349
Department(s)
Administration and Leadership
Document Type
Article