conclusions some children with cap have acnes. in all children with acnes, we recommended local nerve blocks. if the local block in 3 times is not helping, neurectomy of the peripheral nerve is method of choice. results in 12 pediatric patients with chronic abdominal pain, we diagnosed acnes. each presented with abdominal pain and a positive carnett sign. local nerve blocks using anesthetic and...

Intercostal artery injury may be life-threatening and usually presents as hemothorax. We report a unique case of penetrating injury, causing hemoperitoneum due to intercostal without thoracic involvement. During urgent laparotomy, no intra-abdominal organ was found. Hemostasis successfully achieved via suturing through an additional lateral 10cm incision the left thorax.

The anatomy of the posterior intercostal lymphatics and lymph nodes is reviewed. These lymph nodes are occasionally visualized by bipedal conventional lymphography. Opacified and/or enlarged posterior intercostal lymph nodes may also be identified with computed tomography of the chest. Familiarity with the lymphatic drainage patterns of the intercostal spaces and recognition of abnormal interco...

Hyperosmotic saline solutions stimulate lower airway sensory nerves. To determine whether airway hyperosmolarity evokes neurally mediated changes in bronchial artery blood flow (Qbr), we measured the effect of injection of small volumes (1 ml) of hyperosmotic saline into a right lobar bronchus on Qbr of anesthetized, artificially ventilated dogs. In 14 dogs, hyperosmotic saline (1,200 and 2,400...

STUDY OBJECTIVES To assess the feasibility and clinical outcome of bilateral plication of the diaphragm in patients with bilateral diaphragmatic paralysis (BDP) caused by neuralgic amyotrophy (NA), a mononeuritis of the phrenic nerves. DESIGN Prospective, case-control study over a 1-year period. SETTING A university hospital in The Netherlands. PATIENTS Six patients who presented with BDP...

Ultrasound is becoming popular in anaesthetic practice because of numerous advantages. Its introduction in pain medicine is recent and its use is growing. It allows the identification of soft tissues, vessels and nerves, without the risk of radiation. The additional advantages in pain medicine are avoidance of repeated radiations and ease of use in outpatient clinics, thus saving time and decre...

PURPOSE Preservation of intercostal arteries during thoracic aortic procedures reduces the risk of post-operative paraparesis. The origins of the intercostal arteries are visible on pre-operative computed tomography angiography (CTA), but rarely on intra-operative angiography. The purpose of this report is to suggest an image fusion technique for intra-operative localisation of the intercostal ...

PURPOSE We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi-CC7 transfer, on total root avulsion brachial plexus injuries (BPI). METHODS Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi-CC7 transfer for hand function, while gr...

Referred pain is a phenomenon of feeling pain at a site other than the site of the painful stimulus origin. It arises from a pathological mixing of nociceptive processing pathways for visceral and somatic inputs. Despite numerous studies based on unit recordings from spinal and supraspinal neurons, the exact mechanism and site of this mixing within the central nervous system are not known. Here...