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Acupuncture alleviates acute peritonitis: A case report.

Yun Chen1, Xiaoyan Chen2, Hong Qian1

  • 1Guangdong Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, PR China.

Heliyon
|April 25, 2023
PubMed
Summary

Acupuncture rapidly relieved severe abdominal pain in an 88-year-old with acute peritonitis unresponsive to analgesics. This case suggests acupuncture as a potential alternative for managing peritonitis pain when opioids fail.

Keywords:
AcupunctureAcute peritonitisCase reportOpioid-induced hyperalgesia

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Area of Science:

  • Gastroenterology
  • Pain Management
  • Integrative Medicine

Background:

  • Peritonitis, an acute inflammation of the peritoneum, often presents with severe abdominal pain exacerbated by movement.
  • Gastrointestinal perforation is a common cause of acute peritonitis, necessitating prompt medical intervention.
  • Conventional pain management for peritonitis often involves analgesics, but efficacy can be limited, especially in cases of opioid-induced hyperalgesia.

Observation:

  • An 88-year-old patient with acute gastrointestinal perforation and peritonitis experienced persistent, severe right lower abdominal pain.
  • Standard treatments including anti-infectives, stomach protection agents, and various analgesic injections provided minimal pain relief.
  • The patient's pain was significantly aggravated by coughing, breathing, and body movements, typical of peritonitis.

Findings:

  • Acupuncture treatment was administered to the patient experiencing refractory pain from acute peritonitis.
  • Within one minute of acupuncture, the patient reported rapid and substantial relief from acute peritonitis pain.
  • This case highlights a potential benefit of acupuncture in a scenario where conventional analgesics were ineffective.

Implications:

  • Acupuncture may serve as a valuable adjunctive or alternative therapy for acute peritonitis pain management.
  • The findings suggest acupuncture could be particularly useful in patients with opioid-induced hyperalgesia complicating peritonitis.
  • Further research is warranted to explore the efficacy and mechanisms of acupuncture in treating peritonitis-associated pain.