The Philippine General Hospital’s First Fluoroscopy-guided Retrocrural Celiac Plexus Block as an Alternative to Surgical Management in a Patient with Intractable Pain from Chronic Pancreatitis: A Case Report

Authors

  • Karmi Margaret G. Marcial Division of Pain Medicine, Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Angelo Miguel M. Realina Division of Pain Medicine, Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.6403

Keywords:

celiac plexus, sympathetic nerve block, chronic pancreatitis, pain, fluoroscopy

Abstract

Intractable pain from chronic pancreatitis is commonly challenging to manage medically. Due to debilitating abdominal pain, quality of life of patients is usually poor. These patients require high doses of strong opioids and even surgical intervention. This paper reports the safe performance of fluoroscopy-guided retrocrural celiac plexus block in a 26-year-old male with chronic pancreatitis. This treatment modality spared him from undergoing total pancreatectomy and the subsequent need for postoperative lifetime insulin and enzyme replacement therapy.

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Published

2022-10-12

Issue

Vol. 56 No. 18 (2022): Anesthesiology Issue

Section

Articles

How to Cite

1.
The Philippine General Hospital’s First Fluoroscopy-guided Retrocrural Celiac Plexus Block as an Alternative to Surgical Management in a Patient with Intractable Pain from Chronic Pancreatitis: A Case Report. Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 7];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/6403

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