Hepatic and Splenic Infarction and Bowel Ischemia Following Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis
- Authors
- Jang, Hee Yoon; Cha, Sang-Woo; Lee, Byung Hoo; Jung, Ho Eun; Choo, Jin Woo; Cho, Yun-Ju; Ju, Hye Young; Cho, Young Deok
- Issue Date
- May-2013
- Publisher
- 대한소화기내시경학회
- Keywords
- Celiac plexus neurolysis; Endoscopic ultrasound-guided fine needle aspiration; Infarction and ischemia
- Citation
- Clinical Endoscopy, v.46, no.3, pp 306 - 309
- Pages
- 4
- Journal Title
- Clinical Endoscopy
- Volume
- 46
- Number
- 3
- Start Page
- 306
- End Page
- 309
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/13743
- DOI
- 10.5946/ce.2013.46.3.306
- ISSN
- 2234-2400
2234-2443
- Abstract
- Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is a well-established intervention to palliate malignant pain. We report a patient who developed hepatic and splenic infarction and bowel ischemia following EUS-CPN. A 69-year-old man with known lung cancer and pancreatic metastasis was transferred for debilitating, significant epigastric pain for several months. The patient underwent EUS-CPN to palliate the pain. After the procedure, the patient complained continuously of abdominal pain, nausea, and vomiting; hematemesis and hematochezia were newly developed. Abdominal computed tomography revealed infarction of the liver and spleen and ischemia of the stomach and proximal small bowel. On esophagogastroduodenoscopy, hemorrhagic gastroduodenitis, and multiple gastric ulcers were noted without active bleeding. The patient expired on postoperative day 27 despite the best supportive care.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.