Year: 2025
Type: article
Study design: Case Report
Abstract: Thoracic paravertebral (TPV) block is a technique that has been shown to be effective for both the prevention and treatment of chronic pain. We report the case of a 42-year-old man with persistent chronic postoperative pain due to a pancreatic pseudocyst. Chronic pancreatitis is characterized by altered pancreatic innervation and neuronal remodeling. This phenomenon leads to chronic and neuropathic pain, which persists for years even in the absence of nociceptive stimuli. Laparoscopic surgical drainage is the method of choice for the treatment of pseudocysts of the pancreas. Despite laparoscopic gastropancreatic surgery for the removal of the pseudocyst, the patient continued to report persistent pain. We describe our experience with a continuous TPV block, which resulted in complete pain resolution.
DOI: 10.4081/aapm.52
Authors: Thierry Claude Bagaphou, Fabrizio Fattorini, Lavinia Rita Parisi, Vittorio Cerotto, Stefano Martinelli
Institution: Città di Castello Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4413491863