Celiac plexus block
37 year old male present with severe abdominal pain due to chronic pancreatis. Inoperable malignant intraductal papillary mucinous neoplasms. Post palliative gastrojejunostomy
- Patient under monitored anesthesia care.
- Prone position
- Two 22G Chiba needles were advanced under CT guidance.
- Position of needle confirmed with contrast injection.
- The needles were positioned on either side of the celiac trunk
- A cocktail of drugs (Absolute alocohol, Bupivacaine and contrast in the ratio of 6:3:1) were injected into the celiac plexus
- Post procedure check CT was done to ensure no intra procedure or immediate post procedural complications.
- Patient shifted to an observation ward for monitoring
- Patient was asymptomatic and discharged in the evening
- Immediate pain relief
- No recovery time unlike surgery as procedure done through fine needle
- Day admission – same day discharge
- Procedure can be performed for high risk category patient
The procedure was performed by a team of Aster Medical Imaging radiologists working onsite at Aster Medcity, Cochin.