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Clinical course of pain in a patient with neuropathic pain induced by ligation of an intercostal nerve

Jitsu Kato, MD, PhDCorresponding Author Informationemail address, Dai Gokan, MD, PhD, Noriya Hirose, DDS, PhD, Miyako Baba, MD, Toru Ehara, MD, Setsuro Ogawa, MD, PhD

Received 15 September 2007; received in revised form 6 January 2009; accepted 8 January 2009. published online 26 October 2009.
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Abstract 

A patient with severe right chest pain and mechanical allodynia induced by ligation of an intercostal drainage tube to his chest skin is presented.

It was not relieved by treatment with diclofenac sodium and was worsened by movement and touch to the right chest wall. Mechanical allodynia was also present. The patient's wrenching pain disappeared immediately after stitch removal, but the dull pain and mechanical allodynia persisted, gradually decreasing to zero in 7 days.

Department of Anesthesiology, Nihon University Itabashi Hospital, Tokyo 173-8610, Japan

Corresponding Author InformationCorresponding author. Tel.: +81 3 3972 8111x3284; fax: +81 3 5917 4766.

PII: S0952-8180(09)00270-0

doi:10.1016/j.jclinane.2009.01.009