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„Diagnostischer“ Interskalenusblock

“Diagnostic” interscalene plexus block

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Zusammenfassung

Bei einem 73-jährigen Patienten wurde im Rahmen einer ultraschallgesteuerten Anlage eines Interskalenusblocks für eine Schulterarthroskopie der Zufallsbefund einer zystischen Struktur in der Schilddrüse erhoben. In der Abklärung konnte die Diagnose einer Schilddrüsenmetastase eines 10 Jahre zuvor resezierten Nierenzellkarzinoms gestellt werden. Bei jeder ultraschallgesteuerten Nervenblockade sollte die betreffende Region vor Punktion systematisch untersucht werden, um die anatomischen Strukturen zu beurteilen und um Normvarianten oder pathologische Befunde nicht zu übersehen.

Abstract

The dedicated target region should be systematically examined before performing an ultrasound-guided nerve block so that the anatomy can be assessed and anatomic variants or pathologic findings are not missed. In the case described an ultrasound-guided interscalene plexus block was performed in a 73-year-old man. During this examination a cystic structure was detected within the thyroid gland. The further diagnostic procedure showed a metastasis of a renal cell carcinoma which had been treated by resection 10 years before.

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Dankesgung

Die Autoren danken Dr. med. A. Steinauer (Chefarzt Radiologie, Spital Uster) für die freundliche Überlassung des Bildmaterials.

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Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Authors and Affiliations

  1. Klinik für Anästhesiologie, Spital Uster, Brunnenstr. 42, 8610, Uster , Schweiz

    K. Mischler, C. Müller &  T. Hillermann

  2. Chirurgische Klinik, Orthopädie, Spital Uster, Uster, Schweiz

    A. Keller

Authors
  1. K. Mischler
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  2. C. Müller
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  3. A. Keller
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  4. T. Hillermann
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Corresponding author

Correspondence to T. Hillermann.

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Mischler, K., Müller, C., Keller, A. et al. „Diagnostischer“ Interskalenusblock. Anaesthesist 61, 143–147 (2012). https://doi.org/10.1007/s00101-011-1967-z

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  • DOI: https://doi.org/10.1007/s00101-011-1967-z

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