PMC9943689_01
Bilateral anterolateral chest wall illustrating ulcerations and previous scarring secondary to suspected CLOVES syndrome. CLOVES: Congenital lipomatous overgrowth, vascular malformations, epidermal nevis, spinal/skeletal anomalies/scoliosis.
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FIG1
Upon evaluation, she attributed her acute-on-chronic pain to recurrent cellulitis and acute ulceration of the anterior and lateral chest walls (Figure 1).
Ultrasound-guided image of thoracic 4 intercostal cryoneurolysis
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FIG2
Tip, Pacira Biosciences, FL, USA) was introduced through the angiocath to approach the right T4 intercostal nerve (Figure 2) as the initial target site. Two cycles of 106 seconds of freezing were applied, and the formation of the ice ball was visualized under ultrasound. This procedure was then repeated at the right T5, T6, and left T8, T9, and T10 intercostal levels.