Abstract
Abdominal visceral organ pathology is commonly the source of abdominal pain. However, some abdominal pain may originate from the abdominal wall muscles and be somatic in origin. Transversus Abdominis Plane (TAP) block is an effective block to offer analgesia for abdominal somatic pain. Intercostal nerve (ICN) blockade is also an useful diagnostic and therapeutic tool to manage pain covered by the distribution of thoracic nerves. Chronic abdominal wall pain can often be missed as a differential diagnosis for patients suffering with abdominal pain. We present a case of intractable right upper quadrant (RUQ) abdominal pain managed successfully with ultrasound-guided TAP and ICN block.
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