A young female presenting with pentazocine induced muscle contractures for emergency LSCS

Abstract

We report a case of pentazocine induced multiple contractures leading to residual deformities in a young female presenting for emergency caesarean section. During preoperative assessment, severe disabling abduction deformities of both lower limbs at hip as well as knee and restricted movements of right upper limb were noted. History revealed intramuscular abuse of pentazocine and promethazine for 6 years, from an early age. She was presently de-addicted for last 3 years. Despite difficult positioning, we were able to perform the subarachnoid block successfully.