Postmastectomy pain syndrome poses a significant treatment challenge. We present the case of a 42-year-old woman who presented to our pain clinic with a 16-month history of postmastectomy pain. We performed a combined superficial and deep serratus plane block using bupivacaine, dexamethasone, and clonidine. At 1-month follow-up, the patient had 100% pain relief. At 2-month follow-up, her pain was 5/10. The block was repeated with the same drugs at 3 months with similar pain relief. This case illustrates the utility of a combined superficial and deep serratus plane block in postmastectomy pain syndrome with a possible benefit from added dexamethasone and clonidine.
From the University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Accepted for publication April 3, 2018.
The authors declare no conflicts of interest.
Address correspondence to Christopher J. Maranto, MD, Department of Anesthesiology, University of Arkansas for Medical Sciences, 4301 W Markham St, #515, Little Rock, AR 72205. Address e-mail to firstname.lastname@example.org.