Background & Aims

the pain of pancreatitis has always existed in medicine
it has always seemed to us like the most painful of illnesses. in addition to the intense, deep and visceral pain that it manifests, it is very difficult if not impossible to relieve.
in medicine we were offered aspirin as a miracle treatment then many other drugs were unable to relieve patients
in medical books, pain is often put in the background, sometimes it is even cited seemingly without interest
but this high intensity pain of 10 on the numerical scale
is unbearable we would describe it as nociceptive and inflammatory. it is continuous. patients describe it as tearing pain.
The objectif of the study is to describe the characteristics of this pain and to propose alternative therapy for the severe pancreatic pain.

Methods

we report two cases of severe acute pain of pancreatic origin.
After their admission to the emergency room, the main symptome was very severe pain, presenting visceral characteristics, described as continuous and tenacious, accompanied by nausea and a subfebrile syndrome with intense abdominal pain,
the abdomen was very tender, a CT scan was requested confirming stage E pancreatitis.
The parameters studied are the age, the sexe, the BMI, the pain intensity, the characteristics of the pain, the etiology, the treatment, the response of the treatment , the evolution.

Results

The two patientes are women, the first one have 50 years old, the second 58 year old. The BMI number is between 24 et 29. The etiology was found in a single patiente. The pain is rated at 10 on the numerical scale for both.
The treatment used is based on peripheral drogues and opioides.
Even the protocol is respected, relief is not observed.
The administration of 0,20mg /kg of ketamine, gave spectacular result.

Conclusions

The management of severe pancreatic pain is a real challenge for the algologist, disarmed in the face of this uncontrolled painful phenomenon of the disease, the alternative allows particulary for severe pain to obtain relief and patient satisfaction without complications.

References

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Presenting Author

Grainat nadia

Poster Authors

Nadia Grainat

Docteur

PAIN LABORATORY OF BATNA 2 UNIVERSITY AND PAIN CENTER OF BATNA

Lead Author

E-mail

Nawal Boudouh

CHU Study, Evaluation and Pain Treatment Laboratory - University of Batna 2 - Algeria

Lead Author

E-mail

Lamia Djebara

Pain Laboratory CHU Faculty of Medicine University of Batna 2

Lead Author

E-mail

Houssem Eddine Ouarhlent

CHU Study, Evaluation and Pain Treatment Laboratory - University of Batna 2 - Algeria

Lead Author

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atef Gadda

Tlemcen University

Lead Author

E-mail

Mohamed Elhadi Benlaribi

CHU Study, Evaluation and Pain Treatment Laboratory - University of Batna 2 - Algeria

Lead Author

E-mail

Topics

  • Models: Visceral

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