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Oral informed consent was obtained from the parents of the patient for publication of this case report and accompanying image. An otherwise healthy 7-year-old girl, weighing 21 kg, was diagnosed with acute appendicitis. Laparoscopic appendicectomy under general anesthesia with bilateral quadratus lumborum block was planned. Epidural block was not performed due to the abnormal value of prothrombin time. After entering the operating room, the standard monitors were attached to the patient. General anesthesia was induced with thiamylal and the patient was intubated after muscle relaxation

Quadratus lumborum block intramuscular approach for pediatric surgery