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

Procedure

• 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

Advantages

• 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

Doctors

The procedure was performed by a team of Aster Medical Imaging radiologists working onsite at Aster Medcity, Cochin.

• Dr. Vijay Jayakrishnan
• Dr. Rohit P.V Nair
• Dr. Brijesh Ray R. S
• Dr. Arjun S