• Pain Med · Sep 2007

    Case Reports

    Placement of an implantable drug delivery system under the breast.

    • John M Compoginis, Steven H Richeimer, and Garry S Brody.
    • Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.
    • Pain Med. 2007 Sep 1;8(6):521-4.

    ObjectiveOur case will demonstrate a safe and practical alternative location for an implantable drug delivery system (IDDS) pump. Traditionally, these pumps have been placed subcutaneously in the lower abdomen. We will describe the technique used for under the breast placement.PatientThe patient was a 52-year-old female with metastatic colon cancer and chronic flank pain.ResultsThe pump was placed in the retromammary location with no complications or problems with patient discomfort. Adequate pain control was achieved.ConclusionThe retromammary location for the IDDS pump is a safe and aesthetically pleasing option for some patients. This location is a useful alternative for female cachectic patients, or patients with abdominal ostomies.

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