1Department of Radiology, Nara Medical University, 2Department of Diagnostic Ultrasound, Nissei Hospital, 3Department of Radiology, Nissei Hospital, 4Department of Anesthesiology, Nara Medical University, 5Takushoku University
It is well known that celiac plexus block is very effective for the intractable upper abdominal pain due to abdominal malignancy or pancreatitis. Celiac plexus block by ultrasonically guided puncture to locate a needle tip to the retrocrural space or anterolateral side of the abdominal aorta was performed in 13 cases who had intractable pain due to abdominal malignancies. Test block with local anesthetic drug containing contrast medium was followed by the permanent block using absolute ethanol (10∼30 ml). This ultrasonically guided procedure is useful to avoid complications puncturing the lung, kidney or other visceral organs and recommended more frequently. Celiac plexus block can be made easily and safely by this new technique and should be adopted before prescribing narcotic agents.