• Katsuhiro Aikawa, Nobuhiro Tanaka, and Yuji Morimoto.
• Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine and Graduate School of Medicine Hokkaido University, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan. katsuhiro.aikawa@gmail.com.
• JA Clin Rep. 2018 May 8; 4 (1): 37.

BackgroundRecessive dystrophic epidermolysis bullosa (RDEB) is a rare, hereditary mucocutaneous disorder that can involve renal insufficiency. If a vascular access for hemodialysis is unavailable, peritoneal dialysis can be utilized. This report describes an anesthetic management with ultrasound-guided transversus abdominis plane block (TAPB) in a patient with RDEB for peritoneal dialysis catheter replacement.Case PresentationA 49-year-old woman with RDEB needed to undergo peritoneal dialysis catheter replacement. As general, neuraxial and local infiltration anesthesia can lead to serious complications; we planned anesthetic management with subcostal TAPB as the primary analgesia modality. In the operating theater, surgery was initiated after performing left-sided subcostal TAPB. The patient complained of moderate pain at some points during surgery, and the pain was controlled with intravenous or local anesthetics without serious complications.ConclusionsIn summary, subcostal TAPB could be a useful option for peritoneal dialysis catheter surgery in patients with RDEB.

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