背景:直肠脱垂是一种环状,直肠穿过肛门的全层突出,which,如果管理不当,可能会被监禁并有勒死的风险。除非遇到并发症,否则这种病理很少是医疗紧急情况。这些并发症包括感染,坏死,穿孔,监禁,不受控制的疼痛。病例介绍:我们报告了一例老年患者与慢性直肠脱垂相关的疼痛。手术干预已被排除,使用全身镇痛药后疼痛没有缓解。病例管理:基于越来越多的镇痛性能报告,局部亚甲蓝(MB)0.1%外用在脱垂器官,获得疼痛缓解。病例结果:患者经历了立即和持久的疼痛缓解;根据需要每12小时继续施用MB。经过这种治疗,患者不再需要全身镇痛药.没有副作用的报道。结论:局部MB可能是治疗慢性直肠脱垂相关疼痛的有效镇痛药。这种治疗方法可以外推到其他临床症状。在其他疾病中,类似的使用已被证明是安全有效的,包括与癌症治疗相关的口腔粘膜炎疼痛。
Background: Rectal prolapse is a circumferential, full-thickness protrusion of the rectum through the anus, which, if not properly managed, may become incarcerated and pose a risk of strangulation. This pathology is rarely a medical emergency unless a complication is encountered. Such complications include infection, necrosis, perforation, incarceration, and uncontrolled pain.
Case Presentation: We report a
case of an elderly patient with pain associated with chronic rectal prolapse. Surgical intervention had been ruled out, and there had been no pain relief after using systemic analgesics.
Case Management: Based on increasing
reports of analgesic properties, topical methylene blue (MB) 0.1% was applied externally at the prolapsed organ, obtaining pain relief.
Case Outcome: The patient experienced immediate and long-lasting pain relief; MB applications were continued every 12 hours as needed. After this therapy, the patient was no longer in need of systemic analgesics. No side effects were reported. Conclusion: Topical MB may be an effective analgesic for the management of pain associated with chronic rectal prolapse. This treatment might be extrapolated to other clinical scenarios of tegumentary pain. Similar use has been shown to be safe and effective in other pathologies, including pain in oral mucositis associated with cancer therapy.