Abstract
A 49-year-old woman with a pancreatic tail tumor and multiple metastases underwent alcohol celiac plexus neurolysis for severe left-side abdominal pain radiating to the back. After the block, the patient had excellent pain relief in the left abdomen, but the block induced right abdominal pain, which she did not have before the neurolytic celiac plexus block (NCPB). Postinjection pain of alcohol neurolysis was suspected. We performed another right-side transcrural insertion to inject steroid into the celiac ganglion. The patient reported dramatic relief of the right-side abdominal pain after the steroid injection. Finally, the patient was pain free with minimal oral drugs after the NCPB. In conclusion, postinjection alcohol neurolysis pain can be treated with steroid injection, which may increase the efficacy of NCPB.
Published Version
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