Bloqueo esplácnico para el manejo analgésico del dolor abdominal de difícil control. Reporte de caso.
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| Title: | Bloqueo esplácnico para el manejo analgésico del dolor abdominal de difícil control. Reporte de caso. |
|---|---|
| Alternate Title: | Splanchnic nerve block for analgesic management of hard-to-control abdominal pain. A case report. |
| Authors: | Piñeiro-Franco, Laura1 (AUTHOR) laura.pineiro@vallhebron.cat, Paggi-Frías, Agustín1 (AUTHOR), Usua-Lafuente, Gemma1 (AUTHOR), Schuitemaker-Requena, Juan B.1 (AUTHOR), Server-Salvà, Anna1 (AUTHOR) |
| Source: | Dolor: Investigación, Clínica & Terapéutica. 2026, Vol. 41 Issue 1, p1-6. 6p. |
| Subjects: | SPLANCHNIC nerves, ABDOMINAL pain, OPIOIDS, MINIMALLY invasive procedures, ANALGESIC effectiveness, CHRONIC pain, HEMATOMA, THERAPEUTIC embolization |
| Abstract (English): | Acute abdominal pain is a common emergency consultation, with a 10-30% risk of chronification. When medical options fail, interventional techniques are required. A 35-year-old woman presented with sudden abdominal pain in the right hypochondrium, radiating to the back (VAS 9-10). She exhibited anemia without hemodynamic instability. An angioCT revealed a 15 cm subcapsular hepatic hematoma associated with adenomas, causing right hemidiaphragm elevation and pleural effusion. Prophylactic embolization was performed, and the patient was admitted for multidisciplinary management. Due to poor pain control and refractoriness to medical treatment, a right splanchnic nerve block guided by CT and pulsed radiofrequency was performed, achieving significant improvement, opioid reduction, and initiation of physical therapy. The splanchnic nerves innervate the abdominal viscera. Their blockade is an effective alternative for chronic abdominal pain, preventing prolonged opioid use and its adverse effects. This case highlights the early utility of interventional techniques. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | El dolor abdominal agudo es una consulta frecuente en urgencias, con riesgo de cronificación en el 10-30% de los casos. Cuando las opciones conservadoras son insuficientes, se requiere valorar técnicas intervencionistas. Mujer de 35 años con dolor abdominal súbito en hipocondrio derecho irradiado a espalda (EVA 9-10) con anemización sin inestabilidad hemodinámica. Un angioTC revela hematoma subcapsular hepático de 15 cm asociado a adenomas, con elevación del hemidiafragma y derrame pleural. Se realiza embolización profiláctica e ingreso hospitalario. Por mal control del dolor y refractariedad a tratamiento médico se realiza bloqueo esplácnico derecho guiado por TAC y radiofrecuencia pulsada, logrando mejoría significativa, reducción de opioides e inicio de terapia física. Los nervios esplácnicos inervan las vísceras abdominales. Su bloqueo es una alternativa eficaz en dolor abdominal crónico, evitando el uso prolongado de opioides y sus efectos adversos. Este caso subraya la utilidad de las técnicas intervencionistas en fases tempranas. [ABSTRACT FROM AUTHOR] |
| Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 191951200 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Bloqueo esplácnico para el manejo analgésico del dolor abdominal de difícil control. Reporte de caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Splanchnic nerve block for analgesic management of hard-to-control abdominal pain. A case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Piñeiro-Franco%2C+Laura%22">Piñeiro-Franco, Laura</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> laura.pineiro@vallhebron.cat</i><br /><searchLink fieldCode="AR" term="%22Paggi-Frías%2C+Agustín%22">Paggi-Frías, Agustín</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Usua-Lafuente%2C+Gemma%22">Usua-Lafuente, Gemma</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schuitemaker-Requena%2C+Juan+B%2E%22">Schuitemaker-Requena, Juan B.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Server-Salvà%2C+Anna%22">Server-Salvà, Anna</searchLink><relatesTo>1</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Dolor%3A+Investigación%2C+Clínica+%26+Terapéutica%22">Dolor: Investigación, Clínica & Terapéutica</searchLink>. 2026, Vol. 41 Issue 1, p1-6. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22SPLANCHNIC+nerves%22">SPLANCHNIC nerves</searchLink><br /><searchLink fieldCode="DE" term="%22ABDOMINAL+pain%22">ABDOMINAL pain</searchLink><br /><searchLink fieldCode="DE" term="%22OPIOIDS%22">OPIOIDS</searchLink><br /><searchLink fieldCode="DE" term="%22MINIMALLY+invasive+procedures%22">MINIMALLY invasive procedures</searchLink><br /><searchLink fieldCode="DE" term="%22ANALGESIC+effectiveness%22">ANALGESIC effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22CHRONIC+pain%22">CHRONIC pain</searchLink><br /><searchLink fieldCode="DE" term="%22HEMATOMA%22">HEMATOMA</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTIC+embolization%22">THERAPEUTIC embolization</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Acute abdominal pain is a common emergency consultation, with a 10-30% risk of chronification. When medical options fail, interventional techniques are required. A 35-year-old woman presented with sudden abdominal pain in the right hypochondrium, radiating to the back (VAS 9-10). She exhibited anemia without hemodynamic instability. An angioCT revealed a 15 cm subcapsular hepatic hematoma associated with adenomas, causing right hemidiaphragm elevation and pleural effusion. Prophylactic embolization was performed, and the patient was admitted for multidisciplinary management. Due to poor pain control and refractoriness to medical treatment, a right splanchnic nerve block guided by CT and pulsed radiofrequency was performed, achieving significant improvement, opioid reduction, and initiation of physical therapy. The splanchnic nerves innervate the abdominal viscera. Their blockade is an effective alternative for chronic abdominal pain, preventing prolonged opioid use and its adverse effects. This case highlights the early utility of interventional techniques. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: El dolor abdominal agudo es una consulta frecuente en urgencias, con riesgo de cronificación en el 10-30% de los casos. Cuando las opciones conservadoras son insuficientes, se requiere valorar técnicas intervencionistas. Mujer de 35 años con dolor abdominal súbito en hipocondrio derecho irradiado a espalda (EVA 9-10) con anemización sin inestabilidad hemodinámica. Un angioTC revela hematoma subcapsular hepático de 15 cm asociado a adenomas, con elevación del hemidiafragma y derrame pleural. Se realiza embolización profiláctica e ingreso hospitalario. Por mal control del dolor y refractariedad a tratamiento médico se realiza bloqueo esplácnico derecho guiado por TAC y radiofrecuencia pulsada, logrando mejoría significativa, reducción de opioides e inicio de terapia física. Los nervios esplácnicos inervan las vísceras abdominales. Su bloqueo es una alternativa eficaz en dolor abdominal crónico, evitando el uso prolongado de opioides y sus efectos adversos. Este caso subraya la utilidad de las técnicas intervencionistas en fases tempranas. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=191951200 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24875/DOL.M25000018 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 1 Subjects: – SubjectFull: SPLANCHNIC nerves Type: general – SubjectFull: ABDOMINAL pain Type: general – SubjectFull: OPIOIDS Type: general – SubjectFull: MINIMALLY invasive procedures Type: general – SubjectFull: ANALGESIC effectiveness Type: general – SubjectFull: CHRONIC pain Type: general – SubjectFull: HEMATOMA Type: general – SubjectFull: THERAPEUTIC embolization Type: general Titles: – TitleFull: Bloqueo esplácnico para el manejo analgésico del dolor abdominal de difícil control. Reporte de caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Piñeiro-Franco, Laura – PersonEntity: Name: NameFull: Paggi-Frías, Agustín – PersonEntity: Name: NameFull: Usua-Lafuente, Gemma – PersonEntity: Name: NameFull: Schuitemaker-Requena, Juan B. – PersonEntity: Name: NameFull: Server-Salvà, Anna IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: 2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 02140659 Numbering: – Type: volume Value: 41 – Type: issue Value: 1 Titles: – TitleFull: Dolor: Investigación, Clínica & Terapéutica Type: main |
| ResultId | 1 |
