ID: 206101 Acute Local Anesthetic Systemic Toxicity From Hypogastric Nerve Block for Chronic Pelvic Pain

Abstract

Chronic pelvic pain (CPP) poses significant diagnostic and treatment challenges. One potential intervention is superior hypogastric nerve block for management of sympathetically-mediated pelvic pain. The hypogastric nerve supplies several sympathetic pain pathways of pelvic organs and has demonstrated use in conditions including post-operative, fibroid, and endometriosis-related CPP. Peripheral blocks of the hypogastric plexus under fluoroscopy serve as both diagnostic and therapeutic interventions for some patients managing CPP. However, complications such as local anesthetic systemic toxicity can occur.