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