Grant Allbritten, Joshua Bigham, Michael E Harned, Christopher J Mallard
{"title":"Sclerotherapy for Management of Intrathecal Pump Seroma Formation: A Case Series.","authors":"Grant Allbritten, Joshua Bigham, Michael E Harned, Christopher J Mallard","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Intrathecal drug delivery systems (ITDDS) are an option for the treatment of chronic pain syndromes or spasticity that are refractory to other conservative measures; however, they are not without complications. Seroma formation is one of the possible complications following implantation of an ITDDS.</p><p><strong>Case report: </strong>We present 3 separate cases of patients with recalcitrant seroma formation at their IT pump sites that were successfully treated with doxycycline pleurodesis.</p><p><strong>Conclusions: </strong>Pump site seroma formation is a possible complication following implantation of an ITDDS. Typically, these are self-limiting, but if not addressed can result in complications which include pain, infection, and difficulty filling. We propose a case series of 3 patients who suffered from recurrent seroma formation following ITDDS implantation that were successfully treated with doxycycline-based sclerotherapy.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 6","pages":"237-239"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Intrathecal drug delivery systems (ITDDS) are an option for the treatment of chronic pain syndromes or spasticity that are refractory to other conservative measures; however, they are not without complications. Seroma formation is one of the possible complications following implantation of an ITDDS.
Case report: We present 3 separate cases of patients with recalcitrant seroma formation at their IT pump sites that were successfully treated with doxycycline pleurodesis.
Conclusions: Pump site seroma formation is a possible complication following implantation of an ITDDS. Typically, these are self-limiting, but if not addressed can result in complications which include pain, infection, and difficulty filling. We propose a case series of 3 patients who suffered from recurrent seroma formation following ITDDS implantation that were successfully treated with doxycycline-based sclerotherapy.
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