Pathological fracture complicating epidural local anaesthetic opioid infusion for cancer pain
Amanor-Boadu, S.D.; Jack, T.M.
West African Journal of Medicine 20(2): 179-180
2001
ISSN/ISBN: 0189-160X PMID: 11768023 Document Number: 526536
Two cases of severe bone pains from metastatic cancer, without clinical or radiological evidence of fractures on admission, are presented. Pain control and mobilization were achieved initially with local anaesthetic-opioid epidural infusion. Subsequent loss of analgesia prompted a re-examination, which revealed pathological fractures of the femur. Internal fixation of the fractures resulted in good control such that strong opioids were no longer required.
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