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Ultrasound-Guided Intercostal Nerve Block for Intractable Right Upper Quadrant Abdominal Pain: A Case Report

 陳鈞婷(Chiun-Ting Chen);楊芝琳(Chih-Lin Yang);勞萱之(Hsuan-Chih Lao);徐永偉(Yung-Wei Hsu);洪育均(Yu-Chun Hung);鄭仁坤(Jen-Kun Cheng);陳建全(Chien-Chuan Chen);林嘉祥(Chia-Shiang Lin)
Abdominal visceral organ pathology is commonly the source of abdominal pain. However, some abdominal pain may originate from the abdominal wall muscles and be somatic in origin. Transversus Abdominis Plane (TAP) block is an effective block to offer analgesia for abdominal somatic pain. Intercostal nerve (ICN) blockade is also an useful diagnostic and therapeutic tool to manage pain covered by the distribution of thoracic nerves. Chronic abdominal wall pain can often be missed as a differential diagnosis for patients suffering with abdominal pain. We present a case of intractable right upper quadrant (RUQ) abdominal pain managed successfully with ultrasound-guided TAP and ICN block.
腹痛的病因通常來自於腹部內臟器官的疾病,然而,有些腹痛可能起源於腹壁肌肉。Transversus Abdominis Plane (TAP) block是一種有效的診斷和控制胸神經分佈範圍疼痛的工具。肋間神經(ICN)阻斷也是一個有效的診斷和治療腹壁肌肉疼痛的方法。以下我們將提出一例,經由超音波引導施行TAP block和肋間神經(ICN)阻斷而成功治療頑固性右上腹疼痛的案例。