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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
  • Affordable
  • 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.