Abstract

RIZZO, Cláudia Carvalho; VENTURA, Luís Marcelo  and  CASTRO, Luís Antônio de. CT-guided anterior celiac plexus neurolysis: case report. Rev. dor [online]. 2011, vol.12, n.4, pp. 354-357. ISSN 1806-0013.  http://dx.doi.org/10.1590/S1806-00132011000400013.

BACKGROUND AND OBJECTIVES: Cancer pain requires other therapeutic options in addition to pharmacological treatment for better control. So, whenever possible, one should use interventionist pain control techniques and modalities to offer better quality of life and improve therapeutic response to treatment. This study aimed at presenting a simple interventionist technique, adequately tolerated by patients, with excellent pain relief and free of major intercurrences. CASE REPORT: Female patient, 50 years old with neoplasia resulting from anal canal tumor and pain refractory to multimodal analgesic treatment. CT-guided anterior celiac plexus neurolysis by single puncture and 97% alcohol injection has provided effective abdominal pain control and return to daily activities. CONCLUSION: CT-guided celiac plexus neurolysis with single puncture was effective to control abdominal pain in a patient with anal tumor and unresectable liver metastasis.

Keywords : Anal tumor; Cancer pain; Celiac plexus neurolysis.