Hepatic and Splenic Infarction and Bowel Ischemia Following Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis
| Autor: | Byung Hoo Lee, Hye Young Ju, Sang-Woo Cha, Yun Ju Cho, Ho Eun Jung, Hee Yoon Jang, Young Deok Cho, Jin Woo Choo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Endoscopic ultrasound
Celiac plexus neurolysis medicine.medical_specialty Abdominal pain Endoscopic ultrasound-guided fine needle aspiration medicine.diagnostic_test business.industry Esophagogastroduodenoscopy Celiac Plexus Neurolysis Gastroenterology Medicine (miscellaneous) Infarction Case Report medicine.disease Epigastric pain Hematochezia digestive system diseases Surgery Infarction and ischemia Splenic infarction Medicine Radiology Nuclear Medicine and imaging medicine.symptom business |
| Zdroj: | Clinical Endoscopy |
| ISSN: | 2234-2443 2234-2400 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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