The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

A Case of Thigh Stump Pain with Unidentified Complaints

다양한 증상을 호소한 대퇴 절단지통 1예

  • Cha, Young-Deog (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University) ;
  • Kim, Il-Ho (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University) ;
  • Kim, Yu-Jae (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University) ;
  • Kim, Chun-Sook (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University) ;
  • Ahn, Ki-Rhang (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University) ;
  • Park, Wook (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University) ;
  • Kim, Sung-Yell (Pain Clinic and Department of Anesthesiology, College of Medicine, Soonchunhyang University)
  • 차영덕 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김일호 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김유재 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김천숙 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 안기량 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 박욱 (순천향대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김성열 (순천향대학교 의과대학 마취과학교실 및 통증치료실)
  • Published : 1994.05.30
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Abstract

This is a study of decrease in both stump pain and unidentified complaints after removal of neuroma on an amputated left thigh. The patient was a 44 year old woman who received an operation after a motorcycle accident 20th of March, 1991. She started a rehabilitation program in early June of the same year. How ever the patient complained of a squeezing pain on the amputated area. This symptom became more severe after the removal of the nails in September. The pain was perceived as a mental problem and the patient was released from the previous hospital. The pain continued and on the 9th of March, 1992, the patient was introduced to our pain clinic. The patient complained about the cold sensation and pressure pain of the amputated area at the beginning. Later she also expressed various unidentified complaints. No improvement resulted after conducting an epidural block and a lumbar sympathetic ganglion block. MMPI test showed psychological instability. Local injection showed some positive effects, which led to considerations concerning the possibility of neuroma. After confirming the existence of neuroma through CT and MRI, neuromectomy was performed. After the removal of neuroma, the unidentified complaints as well as the stump pain decreased.

좌측 대퇴 절단부에서의 통증을 주소로 하고 다양한 증상을 강하제 호소하던 환자에서 통증의 원인 검색 중 신경종을 발견하여 그것을 적출한 후에 절단부의 통증 뿐아니라 미증호소도 함께 경감된 증례를 경험했다. 이러한 미증호소는 지속되는 통증 및 정확하지 않은 치료방법에 의해 증가 할 수도 있다고 생각된다. 본 증례에서와 같은 경우 정신적 배려를 충분히 해가면서 통증의 원인 검색 및 치료를 하는 것이 합리적일 것으로 사료된다.

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