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Protracted pain following partial splenic embolization in an adolescent female with hypersplenism
Author(s) -
GANESH ARJUNAN,
ROSE JOHN B.,
MAXWELL LYNNE G.
Publication year - 2005
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2005.01575.x
Subject(s) - medicine , hydromorphone , embolization , enteral administration , surgery , anesthesia , parenteral nutrition , opioid , receptor
Summary A 17‐year‐old female with massive splenomegaly underwent partial splenic embolization (PSE) for hypersplenism. The postoperative course was characterized by recurrent painful splenic infarctions requiring hydromorphone PCA for an extended period resulting in an unanticipated, prolonged hospital stay. Massive splenomegaly treated with PSE may require an extended hospital stay to achieve pain control. Such patients may subsequently require transition to enteral opioids and weaning.