Use of ultrasound-guided subcostal transversus abdominis plane blocks in a pediatric patient with chronic abdominal wall pain.

摘要

Sir-We wish to report the use of bilateral subcostal ultrasound-guided (USG) transversus abdominis plane (TAP) blocks in a pediatric patient with chronic abdominal wall pain.A 13-year-old girl with a 2-year history of chronic abdominal pain presented to our chronic pain service (CPS). She had previously undergone a laparotomy (Pfanensteil incision) for an ovarian teratoma after which she developed chronic abdominal pain. She underwent two diagnostic laparoscopies that showed peritoneal seeding of glial tissue. This was not felt to be the cause of her pain. After 19 months of treatment and nondiagnostic investigations, she was referred to the CPS.