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    Neuropathic uterine pain after hysterectomy. A case report

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    Authors
    Chavez, Norma F.
    Zweizig, Susan L.
    Stewart, Elizabeth A.
    UMass Chan Affiliations
    Department of Obstetrics and Gynecology
    Document Type
    Journal Article
    Publication Date
    2003-07-15
    Keywords
    Abscess
    Adult
    Amitriptyline
    Analgesics, Non-Narcotic
    Endometriosis
    Fallopian Tube Diseases
    Female
    Humans
    Hysterectomy
    Neuralgia
    Ovarian Diseases
    Postoperative Complications
    Treatment Outcome
    Obstetrics and Gynecology
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    Link to Full Text
    http://www.reproductivemedicine.com/toc/auto_abstract.php?id=17577
    Abstract
    BACKGROUND: Neuropathic pain arises when there is damage to or dysfunction of the nervous system. Diabetic neuropathy, postherpetic neuralgia and phantom limb pain are common types of neuropathic pain. It is not commonly recognized in gynecologic practice. CASE: A patient underwent a hysterectomy for a tuboovarian abscess and underlying endometriosis. Despite maximal dosing with conventional pain medications, she continued to have significant pain that had not been present following prior surgeries. Use of low-dose amitriptyline successfully treated the pain, with no sequelae. CONCLUSION: Persistent pain following gynecologic surgery that does not respond to conventional therapy may have a neuropathic origin. Attention to appropriate history and physical examination may lead to an increase in the diagnosis of neuropathic pain in gynecology patients. This may have implications for persistent pain in other gynecologic diseases.
    Source
    J Reprod Med. 2003 Jun;48(6):466-8.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/42822
    PubMed ID
    12856521
    Related Resources
    Link to Article in PubMed
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    UMass Chan Faculty and Researcher Publications

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