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open access

Vol 8, No 3 (2009)
Case reports
Published online: 2009-11-02
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Results of bilateral thoracoscopic splanchnicectomy in a patient with diabetic neuropathy of the coeliac plexus; reduction of 2,000 mg daily dose of morphine: a case report

Małgorzata Malec-Milewska, Iwona Kolęda, Agnieszka Sękowska, Adam Ciesielski, Jerzy Wordliczek, Jacek Jastrzębski
Advances in Palliative Medicine 2009;8(3):107-112.

open access

Vol 8, No 3 (2009)
Case reports
Published online: 2009-11-02

Abstract

We report the case of a 32-year-old patient with a long history of diabetes mellitus Type I complicated by coeliac plexus neuropathy. A strong pain syndrome of neuropathic type led to an addiction to parenterally applied morphine. The patient consumed 2,000 mg of intravenous or subcutaneous morphine per day. Thanks to the cooperation of three centres, the Pain Clinic at the Department of Anaesthesiology and Intensive Therapy of The Medical Centre of Postgraduate Education (CMKP) in Warsaw, the Department of Surgery CMKP in Warsaw, and the Pain Clinic and Palliative Care Clinic of Jagiellonian University Medical College (CMUJ) in Cracow, it was possible to stop the opioid intake completely.

Abstract

We report the case of a 32-year-old patient with a long history of diabetes mellitus Type I complicated by coeliac plexus neuropathy. A strong pain syndrome of neuropathic type led to an addiction to parenterally applied morphine. The patient consumed 2,000 mg of intravenous or subcutaneous morphine per day. Thanks to the cooperation of three centres, the Pain Clinic at the Department of Anaesthesiology and Intensive Therapy of The Medical Centre of Postgraduate Education (CMKP) in Warsaw, the Department of Surgery CMKP in Warsaw, and the Pain Clinic and Palliative Care Clinic of Jagiellonian University Medical College (CMUJ) in Cracow, it was possible to stop the opioid intake completely.

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Keywords

neuropathy; chronic pain; dependence on opioids

About this article
Title

Results of bilateral thoracoscopic splanchnicectomy in a patient with diabetic neuropathy of the coeliac plexus; reduction of 2,000 mg daily dose of morphine: a case report

Journal

Advances in Palliative Medicine

Issue

Vol 8, No 3 (2009)

Pages

107-112

Published online

2009-11-02

Page views

841

Article views/downloads

1198

Bibliographic record

Advances in Palliative Medicine 2009;8(3):107-112.

Keywords

neuropathy
chronic pain
dependence on opioids

Authors

Małgorzata Malec-Milewska
Iwona Kolęda
Agnieszka Sękowska
Adam Ciesielski
Jerzy Wordliczek
Jacek Jastrzębski

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