AB219. SOH21AS098. Case report: a patient presenting with pain and the practice of binding in Ireland
Anaesthesia Poster Session

AB219. SOH21AS098. Case report: a patient presenting with pain and the practice of binding in Ireland

Miriam Molloy, Dominic Harmon

Department of Anaesthesia, University Hospital Limerick, Limerick, Ireland


Abstract: Binding is the practice of compressing breast tissue to give an appearance of a flat chest. This is important for many patients including transgender, non-binary, masculine-presenting assigned female at birth and gender non-conforming patients. We report a case of a 17-year-old masculine-presenting assigned female at birth patient. She presented to a pain clinic with new complaints of bilateral chest wall pain. There was a background history of Ehlers-Danlos Syndrome (EDS) Type III and Pain Amplification Syndrome (PAS). On examination tenderness at their costochondral region, lateral ribs bilaterally and costovertebral joints was appreciated. The majority of the pain has now resolved after changes in binding practice however patients with EDS may take prolonged time periods to recover from injury and clinical examination assessing progress may be obscured secondary to PAS. This case demonstrates binding can cause pain and may have long term health implications. Pain may have been intensified due to EDS and PAS. A key aspect was the non-judgmental, open communication style by the pain specialist enabling the patient to interact in honest dialogue with their doctor. These points are in keeping with current literature such as the Binding Health Project Survey. The decision to augment binding methods was made by the patient with support from the pain MDT ultimately alleviating symptoms. This case demonstrated a delicate balance of prioritising health needs and treating pain whilst simultaneously respecting gender expression and patient autonomy.

Keywords: Anaesthesia; binding; chest binding; LGBTIQ+; pain; transgender health


Acknowledgments

Funding: None.


Footnote

Conflicts of Interest: Both authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/map-21-ab219). The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.


doi: 10.21037/map-21-ab219
Cite this abstract as: Molloy M, Harmon D. AB219. SOH21AS098. Case report: a patient presenting with pain and the practice of binding in Ireland. Mesentery Peritoneum 2021;5:AB219.