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

• 出版年: Indian Journal of Pain
• 主要な著者: Anurag Agarwal, Shivani Rastogi, Brihaspati Tiwari, Aayushi Bagga
• フォーマット: 論文
• 言語: 英語
• 出版事項: Wolters Kluwer Medknow Publications 2024-12-01
• 主題: aortic dissection; celiac plexus rhizolysis; chronic pain; intra-abdominal malignancy; transaortic approach
• オンライン･アクセス: https://journals.lww.com/10.4103/ijpn.ijpn_66_24
• ISSN: 0970-5333; 2321-7820

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.