| Celiac plexus block: a new technique using the left lateral approach. | |
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MedLine Citation:
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PMID: 17710015 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a new celiac plexus block approach in a patient with cholangiocarcinoma who was referred to the Pain Clinic due to uncontrollable abdominal pain. The patient was initially programmed for a neurolytic celiac plexus block using the anterior approach with helical computerized tomography (CT) guidance. The CT scan revealed interposition of the transverse colon in the anterior approach territory, which made the anterior approach technique difficult, and also difficulty to practice the posterior approach without injuring the kidneys. We decided to attempt a left lateral atypical approach because the CT revealed the possibility of using a left lateral window to arrive to the celiac area. The left lateral access allowed us to carry out the neurolytic block using 50% alcohol without injuring any viscera. The patient tolerated the technique and was discharged without pain. No complications regarding either the punction or the block were observed. |
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Authors:
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Xavier Garcia-Eroles; Victor Mayoral; Antonio Montero; Joan Serra; Josep Porta |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Clinical journal of pain Volume: 23 ISSN: 0749-8047 ISO Abbreviation: Clin J Pain Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-21 Completed Date: 2007-11-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507389 Medline TA: Clin J Pain Country: United States |
Other Details:
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Languages: eng Pagination: 635-7 Citation Subset: IM |
Affiliation:
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Universitary Hospital of Bellvitge, Barcelona, Spain. xgarcia@mac.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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rehabilitation* Celiac Plexus* Ethanol* Humans Male Middle Aged Nerve Block / methods* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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64-17-5/Ethanol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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