Hemopneumothorax After Trigger Point Injection for Fibromyalgia.

Abstract

CONTEXT:

Trigger point injections (TPIs) and acupuncture are common procedures in management of chronic back pain and usually are considered safe. Needling into cervical and thoracic regions can be associated with life-threatening complications.

OBJECTIVE:

The team intended to make practitioners aware of the potential for hemopneumothorax after TPI.

DESIGN:

The research team describes a case of hemopneumothorax after TPI.

SETTING:

The case study took place in the Department of Emergency Medicine at the Ankara University School of Medicine (Ankara, Turkey).

PARTICIPANT:

The participant was a 45-y-old woman, who had been admitted to the emergency department at the School of Medicine with dyspnea and dizziness after TPI for fibromyalgia.

RESULTS:

Computerized tomography of the thorax showed a significant hemopneumothorax at the right hemithorax and a collapsed right lung, markedly in the right, lower lobe. The hemopneumothorax was successfully treated with chest-tube and video-assisted thoracoscopic surgery.

CONCLUSIONS:

Health care professionals need to be aware of hemopneumothorax when performing TPI on the chest wall.

• Authors: Sinan Genç, Müge Günalp Eneyli, Onur Polat, Ahmet Burak Oğuz, Serkan Enön
• Journal: Alternative therapies in health and medicine (Altern Ther Health Med) Vol. 26 Issue 2 Pg. 62-64 (Mar 2020) ISSN: 1078-6791 [Print] United States
• PMID: 31221937 (Publication Type: Case Reports, Journal Article)

Topics

• Dizziness (etiology)
• Dyspnea (etiology, surgery)
• Female
• Fibromyalgia (drug therapy)
• Hemopneumothorax (diagnostic imaging, etiology, surgery)
• Humans
• Lung (diagnostic imaging, physiopathology)
• Middle Aged
• Postoperative Complications (surgery)
• Thoracic Surgery, Video-Assisted
• Tomography, X-Ray Computed (methods)
• Treatment Outcome
• Trigger Points
• Turkey