Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy

Chronic abdominal pain from either primary or metastatic lesions is a substantial source of discomfort for patients receiving therapy or palliative care for abdominal cancers. A minimally invasive pain intervention, such as celiac plexus rhizolysis, may be needed to treat individuals whose pain is r...

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Bibliographic Details
Published inIndian Journal of Pain Vol. 38; no. 3; pp. 202 - 204
Main Authors Agarwal, Anurag, Rastogi, Shivani, Tiwari, Brihaspati, Bagga, Aayushi
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow 01.09.2024
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Edition2
Subjects
aortic dissection
Bupivacaine
Cancer
Care and treatment
Case Report
celiac plexus rhizolysis
chronic pain
intra-abdominal malignancy
Pain
Palliative treatment
transaortic approach
Aortic dissection
intra-abdominal malignancy
chronic pain
celiac plexus rhizolysis
transaortic approach
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Summary:Chronic abdominal pain from either primary or metastatic lesions is a substantial source of discomfort for patients receiving therapy or palliative care for abdominal cancers. A minimally invasive pain intervention, such as celiac plexus rhizolysis, may be needed to treat individuals whose pain is resistant to pharmaceutical therapy. Although celiac plexus rhizolysis is an effective and relatively safer technique, fatal complications such as aortic pseudoaneurysm or dissection are possible. Here, we present a case report where regular monitoring of intermittent fluoroscopic images, timely identification, and management prevented aortic dissection during transaortic celiac plexus rhizolysis.
ISSN:0970-5333
2321-7820
DOI:10.4103/ijpn.ijpn_66_24