Diaphragmatic paralysis following alcohol celiac plexus neurolysis and a review of literature: A case report.
- Author:
Jae Hun KIM
1
;
Soo Young PARK
;
Sahngun NAHM
;
Bohyun SUNG
;
Yong Chul KIM
;
Sang Chul LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. pain@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Cancer;
Celiac plexus block;
Complication;
Diaphragmatic paralysis;
Neurolysis
- MeSH:
Celiac Plexus;
Follow-Up Studies;
Humans;
Lung;
Middle Aged;
Neoplasm Metastasis;
Nerve Block;
Pain Clinics;
Pulmonary Atelectasis;
Respiratory Paralysis;
Stomach Neoplasms;
Thorax
- From:Anesthesia and Pain Medicine
2009;4(4):290-293
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 54-year-old man who had metastasis of gastric cancer was referred to pain clinic to control his severe epigastric pain.After the confirmation of the effect of the diagnostic celiac plexus block, c-arm-guided neurolysis of celiac plexus using alcohol was performed without any sensory or motor change.Five days after the chemical neurolysis, elevated hemidiaphragm and basal atelectasis of right lung were noted at routine chest X-ray follow-up without any respiratory symptoms such as dyspnea.There was no evidence of diaphragmatic metastasis. Two months after the neurolysis, the radiographic finding did not show any change.
