Abstract |
Intractable hiccup can be an unbearable circumstance and its treatment is often frustrating. More than 100 causes for hiccup have been described in the literature; the most common cause is gastroesophageal reflux disease ( GERD). We report a case of a 31-year-old patient who suffered from intractable hiccup starting 3 weeks after laparoscopic Nissen fundoplication for GERD, a potential surgical complication that has not been described. After frustrating medical treatment, the patient underwent computed tomography and nerve stimulator-guided blockade of vagal and phrenic nerves on each side separately. Hiccup ceased only after blockade of the right phrenic nerve with 4 ml/h l% ropivacaine and relapsed soon after discontinuation. He underwent thoracoscopic right phrenicectomy, which rendered him symptom free for well over 2 months, at the time of this writing.
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Authors | T Strate, T E Langwieler, O Mann, W T Knoefel, J R Izbicki |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 16
Issue 7
Pg. 1109
(Jul 2002)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 12165833
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Fundoplication
(adverse effects)
- Gastroesophageal Reflux
(complications, surgery)
- Hiccup
(drug therapy, etiology, surgery)
- Humans
- Laparoscopy
(adverse effects)
- Male
- Nerve Block
- Phrenic Nerve
(drug effects, surgery)
- Postoperative Complications
(drug therapy, etiology, surgery)
- Recurrence
- Vagus Nerve
(drug effects)
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