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Anesth Analg 2005;100:879-881
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000143569.63214.04

REGIONAL ANESTHESIA

Postdural Puncture Headache with Abdominal Pain and Diarrhea

Chih-Ping Yang, MD*{dagger}, Chian-Her Lee, MD{ddagger}, Cecil O. Borel, MD§, Chun-Chang Yeh, MD{dagger}, Chueng-He Lu, MD{dagger}, Chih-Shung Wong, MD, PhD{dagger}, and Ching-Tang Wu, MD{dagger}

*Division of Anesthesiology, Armed Forces Taoyuan General Hospital; Departments of {dagger}Anesthesiology and {ddagger}Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China; and §Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina

Address correspondence and reprint requests to Ching-Tang Wu, MD, Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, #325, Section 2, Chenggung Rd., Neihu 114, Taipei, Taiwan, Republic of China. Address e-mail to wuchingtang{at}msn.com.

Dural puncture or a rent in the dura with prolonged cerebrospinal fluid leakage may cause noninfectious arachnoiditis and may be associated with urinary and fecal incontinence. Visceral dysfunction is common for patients with noninfectious arachnoiditis of the lumbosacral nerve roots after dural puncture. We report a case of postdural puncture headache associated with abdominal pain and diarrhea. An epidural blood patch was performed, and all symptoms resolved after 5 days. After exclusion of organic and psychological disorders, this treatment might be considered for patients who are experiencing abdominal pain and diarrhea after dural puncture.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.