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Abstract
Introduction
Complex regional pain syndrome (CRPS) is an under diagonised, chronic pain condition
commonly described occurring in the extremities. Its occurrence in the trunk is rarely
reported and is thought by some to be non existent.
Case presentation
We report an unusual case of trunkul CRPS post appendectomy which presented with debilitating
pain and review relevant literature.
Discussion and conclusion
We recommend that subsequent descriptions and diagnostic criteria should include the
trunk as a site of occurrence of CRPS and not just the extremities. This will help
reduce under diagnosis of this important condition.
Highlights
•
CRPS can also occur in the trunk and not only limbs as previously thought.
•
CRPS can also occur after appendicectomy and surgeons must be wary.
•
Early diagnosis and treatment are essential for better outcome.
The SCARE Guidelines were first published in 2016 and were last updated in 2018. They provide a structure for reporting surgical case reports and are used and endorsed by authors, journal editors and reviewers, in order to increase robustness and transparency in reporting surgical cases. They must be kept up to date in order to drive forwards reporting quality. As such, we have updated these guidelines via a DELPHI consensus exercise.
Complex regional pain syndrome (CRPS) is a debilitating condition affecting the limbs that can be induced by surgery or trauma. This condition can complicate recovery and impair one’s functional and psychological well-being. The wide variety of terminology loosely used to describe CRPS in the past has led to misdiagnosis of this condition, resulting in poor evidence-base regarding the treatment modalities available and their impact. The aim of this review is to report on the recent progress in the understanding of the epidemiology, pathophysiology and treatment of CRPS and to discuss novel approaches in treating this condition.
Complex regional pain syndrome (CRPS) is a life-altering condition that usually affects the extremities after a trauma or nerve injury. The physiologic changes that occur as a result of the inciting injury are complex, as the name of the syndrome implies. The pain and disability associated with CRPS often lead to psychological co-morbidities that create a vicious cycle of pain, isolation, and depression. We review recent developments in the understanding of CRPS and advancements in management of this syndrome. Further research in targeting specific mechanisms involved in the pathophysiology of CRPS should lead to prevention of this condition.
Title:
International Journal of Surgery Case Reports
Publisher:
Elsevier
ISSN
(Electronic):
2210-2612
Publication date PMC-release: 03
May
2021
Publication date Collection:
June
2021
Publication date
(Electronic):
03
May
2021
Volume: 83
Electronic Location Identifier: 105959
Affiliations
[a
]Department of Surgery, College of Health Sciences, University of Zimbabwe, Zimbabwe
[b
]Department of Surgery and Anaesthetics, National University of Science and Technology,
Zimbabwe
[c
]Optics & Imaging, Doris Duke Medical Research Institute, College of Health Sciences,
University of KwaZulu-Natal; KwaZulu-Natal, Durban, South Africa
Author notes
[*
]Corresponding author at: Department of Surgery, College of Health Sciences, University
of Zimbabwe, Box A179, Avondale, Harare, Zimbabwe.
doclux@
123456gmail.com