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CLINICAL IMAGE
Year : 2022  |  Volume : 36  |  Issue : 3  |  Page : 168

Ideal radiocontrast pattern during celiac plexus alcohol neurolysis


Department of Neurosciences, Artemis Hospital, Gurgaon, Haryana, India

Date of Web Publication21-Nov-2022

Correspondence Address:
Dr. Ashish Chakravarty
Department of Neurosciences, Artemis Hospital, Sector 51, Gurgaon - 122 001, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_91_22

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How to cite this article:
Chakravarty A. Ideal radiocontrast pattern during celiac plexus alcohol neurolysis. Indian J Pain 2022;36:168

How to cite this URL:
Chakravarty A. Ideal radiocontrast pattern during celiac plexus alcohol neurolysis. Indian J Pain [serial online] 2022 [cited 2022 Dec 7];36:168. Available from: https://www.indianjpain.org/text.asp?2022/36/3/168/361633



Celiac plexus neurolysis is an established interventional procedure for management of chronic abdominal pain of malignant origin.[1],[2] Proper spread of radiocontrast prior to injection of the neurolytic solution can predict the success of the procedure and long-lasting pain relief.[2]

Spread of the radiocontrast in all four quadrants around the celiac trunk has the highest predictability of long-term pain relief.[2] However, such a spread is rare in routine practice.[2]

The objective of this manuscript is to demonstrate ideal four-quadrant radiocontrast spread during celiac plexus alcohol neurolysis [Figure 1].
Figure 1: (a) Initial spread upon injection of 3 ml radio contrast. The needle position is evidently inferior to the coeliac trunk. Radio contrast tending to encircle the coeliac trunk uniformly. (b) Final spread upon injection of 5ml of the radiocontrast in all four quadrants around coeliac trunk. (c) Lateral view demonstrating spread of radiocontrast ventral to the aorta

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Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Nagels W, Pease N, Bekkering G, Cools F, Dobbels P. Celiac plexus neurolysis for abdominal cancer pain: A systematic review. Pain Med 2013;14:1140-63.  Back to cited text no. 1
    
2.
De Cicco M, Matovic M, Bortolussi R, Coran F, Fantin D, Fabiani F, et al. Celiac plexus block: Injectate spread and pain relief in patients with regional anatomic distortions. Anesthesiology 2001;94:561-5.  Back to cited text no. 2
    


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