Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy

Chronic abdominal pain from either primary or metastatic lesions is a substantial source of discomfort for patients receiving therapy or palliative care for abdominal cancers. A minimally invasive pain intervention, such as celiac plexus rhizolysis, may be needed to treat individuals whose pain is r...

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Main Authors: Anurag Agarwal, Shivani Rastogi, Brihaspati Tiwari, Aayushi Bagga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Pain
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpn.ijpn_66_24
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author Anurag Agarwal
Shivani Rastogi
Brihaspati Tiwari
Aayushi Bagga
author_facet Anurag Agarwal
Shivani Rastogi
Brihaspati Tiwari
Aayushi Bagga
author_sort Anurag Agarwal
collection DOAJ
description Chronic abdominal pain from either primary or metastatic lesions is a substantial source of discomfort for patients receiving therapy or palliative care for abdominal cancers. A minimally invasive pain intervention, such as celiac plexus rhizolysis, may be needed to treat individuals whose pain is resistant to pharmaceutical therapy. Although celiac plexus rhizolysis is an effective and relatively safer technique, fatal complications such as aortic pseudoaneurysm or dissection are possible. Here, we present a case report where regular monitoring of intermittent fluoroscopic images, timely identification, and management prevented aortic dissection during transaortic celiac plexus rhizolysis.
format Article
id doaj-art-455de5e9d0ba4504b2cb3fcfc825a5ea
institution Kabale University
issn 0970-5333
2321-7820
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Pain
spelling doaj-art-455de5e9d0ba4504b2cb3fcfc825a5ea2025-01-07T06:39:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332321-78202024-12-0138320220410.4103/ijpn.ijpn_66_24Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal MalignancyAnurag AgarwalShivani RastogiBrihaspati TiwariAayushi BaggaChronic abdominal pain from either primary or metastatic lesions is a substantial source of discomfort for patients receiving therapy or palliative care for abdominal cancers. A minimally invasive pain intervention, such as celiac plexus rhizolysis, may be needed to treat individuals whose pain is resistant to pharmaceutical therapy. Although celiac plexus rhizolysis is an effective and relatively safer technique, fatal complications such as aortic pseudoaneurysm or dissection are possible. Here, we present a case report where regular monitoring of intermittent fluoroscopic images, timely identification, and management prevented aortic dissection during transaortic celiac plexus rhizolysis.https://journals.lww.com/10.4103/ijpn.ijpn_66_24aortic dissectionceliac plexus rhizolysischronic painintra-abdominal malignancytransaortic approach
spellingShingle Anurag Agarwal
Shivani Rastogi
Brihaspati Tiwari
Aayushi Bagga
Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy
Indian Journal of Pain
aortic dissection
celiac plexus rhizolysis
chronic pain
intra-abdominal malignancy
transaortic approach
title Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy
title_full Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy
title_fullStr Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy
title_full_unstemmed Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy
title_short Suspected Intramural Spread of Dye during Transaortic Celiac Plexus Rhizolysis in Patient of Intra-abdominal Malignancy
title_sort suspected intramural spread of dye during transaortic celiac plexus rhizolysis in patient of intra abdominal malignancy
topic aortic dissection
celiac plexus rhizolysis
chronic pain
intra-abdominal malignancy
transaortic approach
url https://journals.lww.com/10.4103/ijpn.ijpn_66_24
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AT brihaspatitiwari suspectedintramuralspreadofdyeduringtransaorticceliacplexusrhizolysisinpatientofintraabdominalmalignancy
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