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KMID : 0363120110240020105
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Korean Journal of Pain
2011 Volume.24 No. 2 p.105 ~ p.107
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A Case of Pneumothorax after Phrenic Nerve Block with Guidance of a Nerve Stimulator
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Beyaz Serbulent Gokhan
Tufek Adnan
Tokgoz Orhan
Karaman Haktan
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Abstract
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Hiccups have more than 100 etiologies. The most common etiology has gastrointestinal origins, related mainly to gastric distention and gastroesophageal reflux disease. Intractable hiccups are rare but may present as a severe symptom of various diseases. Hiccups are mostly treated with non-invasive or pharmacological therapies. If these therapies fail, invasive methods should be used. Here, we present a patient on whom we performed a blockage of the phrenic nerve with the guidance of a nerve stimulator. The patient also had pneumothorax as a complication. Three hours after intervention, a tube thoracostomy was performed. One week later, the patient was cured and discharged from the hospital. In conclusion, a stimulator provides the benefit of localizing the phrenic nerve, which leads to diaphragmatic contractions. Patients with thin necks have more risk of pneumothorax during phrenic nerve location.
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KEYWORD
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gastroesophageal reflux disease, hiccup, phrenic nerve, pneumothorax, stimulator
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