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Papers of the Week


2020 Nov


Gan To Kagaku Ryoho


47


11

[A Case of Abdominal Fullness Caused by a Retroperitoneal Bulky Tumor Treated with Epidural Analgesia].

Authors

Yokota S, Kodaka K, Satomi E, Nakajima G, Kondo Y, Takeshita N, Kawakami K, Hayashi K
Gan To Kagaku Ryoho. 2020 Nov; 47(11):1615-1617.
PMID: 33268739.

Abstract

We presented the case of a 63-year-old woman with severe abdominal distention due to recurrent retroperitoneal sarcoma. Further, the rapid progression of the tumor made it difficult to relieve the abdominal distention. Titrated intravenous morphine was administered. Although the dose of morphine was escalated and the patient was sedated, she continued to experience pain. The addition of a continuous epidural analgesic lidocaine to manage the abdominal distention was effective. This case report describes a stepwise approach with continuous epidural analgesia of lidocaine for a bulky tumor- related abdominal distention.