Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Bilateral quadratus lumborum block for management of persistent postoperative paralytic ileus: a case report

Carlos Rodrigues Almeida, Pedro Cunha

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We report the case of a 62-year-old female who suffered from a persistent postoperative paralytic ileus following an urgent open cholecystectomy. On the fifth postoperative day we performed a bilateral Quadratus Lumborum Block (QLB) type 1 which resulted in a progressive resolution of the condition. This case report highlights that QLB is not only limited to somatic pain control, but it can also be used to alleviate visceral pain, namely in the context of paralytic ileus management in the postoperative period.


Anesthetic;  Bilateral quadratus lumborum block;  Ileus


1 C. Almeida, J.P. Assunção Hypotension associated to a bilateral quadratus lumborum block performed for post-operative analgesia in an open aortic surgery case Braz J Anesthesiol, 68 (2018), pp. 657-660

2 M. Akerman, N. Pejčić, I. Veličković A review of the quadratus lumborum block and ERAS Front Med (Lausanne), 5 (2018), p. 44

3 J. Carney, O. Finnerty, J. Rauf, et al. Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks Anaesthesia, 66 (2011), pp. 1023-1030

4 A. Kumar, N. Sadeghi, C. Wahal, et al. Quadratus lumborum spares paravertebral space in fresh cadaver injection Anesth Analg, 125 (2017), pp. 708-709

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