Celiac plexus block

Case contributed by Dr Charudutt Jayant Sambhaji

Presentation

Intractable visceral pain due to carcinoma of the head of pancreas on high dose opioids.

Patient Data

Age: 60 years
Gender: Male
Photo

Two 23G Chiba Needles used

CT

An anterior approach, percutaneous CT guided celiac plexus block, with needles placed on either side of the celiac trunk, using 99% alcohol mixed with contrast was performed in this patient with significant relief of pain and reduction in the dosage of analgesics.

Case Discussion

Celiac plexus block under CT guidance is an easy and safely performed procedure with a high success and low complication rates for pain palliation in patients who have chronic abdominal pain related to celiac ganglia.​

 

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Case information

rID: 5783
Published: 22nd Mar 2009
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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