• Ciro Caruso, Domenico Lo Sapio, Valentina Ragosa, Santolo Lo Sapio, Chiara Cafora, and Luigia Romano.
• Pain Therapy Unit Cardarelli Hospital, Naples, Italy. cirocaruso@libero.it
• Neuromodulation. 2011 Mar 1;14(2):146-9; discussion 149-50.

IntroductionAbdominal angina occurs in patients affected by mesenteric artery obstruction, causing postprandial episodes of visceral pain. The conventional treatment consists of vessels revascularization, but sometimes this is not applicable.Case ReportThe authors report a case of a patient with severe abdominal angina caused by mesenteric ischemia, not treatable with surgery and few-responder to pharmacological therapy (opioids and epidural infusion of local anesthetics). After a successful screening test, the patient underwent implantation of a spinal cord stimulation (SCS) device.ResultsThe stimulation provided a reduction in pain episodes (number and intensity) and in oral analgesics consumption. Results obtained support the clinical efficacy and durability of the SCS in the management of abdominal angina due to not treatable mesenteric ischemia.ConclusionsSpinal cord stimulation may be considered for abdominal angina, although there is still no evidence provided by controlled studies.© 2011 International Neuromodulation Society.

26 keywords...

hide…