AI Article Synopsis
- Sphincter of Oddi spasm can occur due to opioids and may be mistaken for other causes of severe abdominal pain.* -
- A case study showed that morphine used during spinal anesthesia caused this spasm, leading to significant patient distress, which was effectively treated with glucagon.* -
- Anesthesiologists should be aware of this potential complication and its unique treatment, as traditional opioid pain relief might not work in these cases.*
Article Abstract
Sphincter of Oddi spasm from opioids has been documented, presenting as severe epigastric pain and potentially overlooked in a differential diagnosis. We present a case of sphincter of Oddi spasm from periarticular morphine in a patient under spinal anesthesia, causing severe distress and treated effectively with glucagon. It is important for anesthesiologists using opioids to consider it as a cause of perioperative pain and be familiar with treatment as it may be refractory by conventional use of opioids for pain relief. It is also important to consider the systemic effects of periarticular absorption, as evident by our case.
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| http://dx.doi.org/10.1213/XAA.0000000000000372 | DOI Listing |
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