Pulmonary embolism following celiac plexus block and neurolysis.

Pearls & oy-sters: Acute spinal cord infarction following endoscopic ultrasound-guided celiac plexus neurolysis.

• Celiac plexus neurolysis (CPN)/celiac plexus block (CPB) is used to treat excruciating cancerrelated abdominal pain.1 • CPN is done via injecting 50%–100% alcohol into the celiac plexus, which is located under the diaphragm at the level of T12-L1 adjacent to the abdominal aorta and the take-off of the celiac trunk.2 • Endoscopic ultrasound guided neurolysis (EUS CPN) has been found to have 85...

EUS-guided celiac plexus block/neurolysis.

Hemorrhagic gastritis and duodenitis following celiac plexus neurolysis.

INTRODUCTION Neurolytic celiac plexus block is a well established intervention to palliate pain, and it potentially improves quality of life in patients suffering from an upper abdominal malignancy, specifically pancreatic cancer. METHODS We describe a 61-year-old female with a history of pancreatic cancer, unexplained transfusion dependent anemia with a normal recent upper endoscopy, and abd...

Fatal complication after endoscopic ultrasound-guided celiac plexus neurolysis.

A 57-year-old woman with a diagnosis of idiopathic recurrent pancreatitis and progressive epigastric pain radiating to her back was admitted to the hospital. Abdominal computed tomography (CT) showed a suspicious 3-cm pancreatic head mass involving the superior mesenteric artery (SMA) and vein. Endoscopic ultrasound (EUS) showed the suspicious pancreatic head mass with bile duct and main pancre...

EUS-guided celiac plexus neurolysis and celiac plexus block.

Pancreatic cancer and chronic pancreatitis commonly produce pain that is difficult to control.1,2 Initial therapy with nonsteroidal anti-inflammatory agents (NSAIDs) is often inadequate and necessitates opioid administration. Although opioids effectively relieve pain, they are associated with dry mouth, constipation, nausea, vomiting, drowsiness, delirium, and may impair immune function.3,4 In ...