Persistent hypotension and other complications of celiac plexus neurolysis: A case report and literature review

Author:

dos Santos Silva Rhuann Pontes1ORCID,Lopes Arthur José Maia2,Bezerra Roberto Borges3,Andrade Rafael Albanez3,Andrade Rebeca Gonelli4,da Costa Larissa Monteiro Ferreira3,de Albuquerque da Cunha Andrade Carolina Albanez5

Affiliation:

1. Catholic University of Pernambuco Recife Brazil

2. CERNEDOR, Real Hospital Português Recife Brazil

3. NEOH, Hospital Memorial São Jose Recife Brazil

4. Pain Center IMIP Cernedor, RealNeuro Recife Brazil

5. Division of Rheumatology CERNEDOR, Hospital das Clínicas Recife Brazil

Abstract

Key Clinical MessagePersistent hypotension is a rare complication of celiac plexus neurolysis. It is important to know what are the main and rare complications and how to treat these in patients who undergo CPN.AbstractCeliac plexus neurolysis is an effective treatment for visceral abdominal pain in oncological patients. Although it rarely has complications, some side effects may occur. A patient with visceral abdominal pain who developed long‐lasting orthostatic hypotension and was treated with the use of corticosteroids after a neurolytic celiac plexus block for intractable pain. We describe a rare complication and its treatment and we emphasize the importance of having a guide for the management and treatment of rare complications. We also suggest that every patient be informed about complications, from the most common to the rarest.

Publisher

Wiley

Subject

General Medicine

Reference5 articles.

1. Acute alcohol intoxication: uncommon complication associated to celiac plexus neurolysis during open surgical procedure in patient with refractory cancer pain;Afonso GL;Case Report Rev Dor,2016

2. Long‐lasting orthostatic hypotension and constipation after celiac plexus block; a case report;Yousefshahi F;Anesth Pain Med,2018

3. The effects of early or late neurolytic sympathetic plexus block on the management of abdominal or pelvic cancer pain

4. Celiac plexus neurolysis for the treatment of upper abdominal cancer pain;Teixeira MJ;Neuropsychiatr Dis Treat,2013

5. Aortic Dissection as a Complication of Celiac Plexus Block

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