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                    Takahashi, Y., Roman, C., Chemtob, S., Tse, M.M., Lin, E., Heymann, M.A., et al. (2000) Cyclooxygenase-2 Inhibitors Constrict the Fetal Lamb Ductus Arteriosus both in Vitro and in Vivo. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 278, R1496-R1505.
                
                
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                                    TITLE: 
                        
                            Pain Management in a Parturient with Presacral Mass
                                
                                
                                    AUTHORS: 
                                            Tan Yan Ru, John Paul Lew, Ong Yee Yian, Antonia Zeng 
                                                    
                                                        KEYWORDS: 
                        Presacral Mass, Pregnancy, Pain Management, Analgesics 
                                                    
                                                    
                                                        JOURNAL NAME: 
                        Open Journal of Anesthesiology,  
                        Vol.7 No.11, 
                        November
                                                        17,
                        2017
                                                    
                                                    
                                                        ABSTRACT: Presacral masses are rare lesions and due to obscure anatomic location and etiological heterogeneity, they pose a diagnostic and therapeutic challenge. Literature is limited on the pain management of a parturient with presacral mass. We describe here a parturient in her second trimester with severe pain from a presacral mass. A high clinical acumen with early multidisciplinary involvement are needed to establish a diagnosis and provide treatment options for the well-being of the patient, minimize fetal teratogenicity, avoid chronic symptoms and long-term disability.