(467) Complete relief of chronic abdominal pain after rapid detoxification of oral and intravenous opiates: a case report

Abstract

Chronic abdominal pain can be one of the most frustrating diagnoses to treat for the pain physician. Patients tend to have varied success with interventional procedures and are often started on chronic opiates. This can very easily lead to complications such as narcotic bowel syndrome or opioid induced hyperalgesia stemming from central sensitization and hyperalgesia. We present the case of a 27 year-old female that had chronic abdominal pain since 2010 from autoimmune hepatitis, primary sclerosing cholangitis and gastroparesis.