Breaking the pain cycle successfully in a child with severe pain due to recurrent pancreatitis: a case report
Abdominal pain due to pancreatic diseases like idiopathic recurrent pancreatitis and chronic pancreatitis is difficult to manage with medications alone in some patients. Celiac plexus innervates abdominal organs including liver, gallbladder, pancreas, etc. We are presenting a case of successful pain management of a 13-year-old boy with recurrent pancreatitis by application of celiac plexus block. Patient was admitted to hospital with severe abdominal pain. Multimodal analgesia was provided to manage his pain, but he continued to have moderate to severe pain in abdomen. So, he was scheduled for celiac plexus block under fluoroscopy in the operating room. Block was performed under conscious sedation, bilaterally via paramedian technique at the level of L1 using 22G Chiba needle. Injection Ropivicaine 0.25% with dexamethasone was injected on each side. His pain was significantly reduced and he was discharged after two days.
Keywords: Celiac plexus block, recurrent pancreatitis, pain management technique