Pain medicine case reports · 2026
Diagnostic Role of Celiac Plexus Block in Assessing Eligibility for Corrective Surgery in a Case of Median Arcuate Ligament Syndrome.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Ayya Syama Sundar, Waghray Anish, Garre Sandeep, Prasad Rama Krishna, C Aniruth Chand Anna, Sangineni Kalyani Surya Dhana Lakshmi
Аннотация
BACKGROUND: Median arcuate ligament syndrome (MALS) is an uncommon cause of postprandial abdominal pain that can be difficult to diagnose, especially in children.
CASE REPORT: We report a 14-year-old male patient with 2 months of severe, stabbing periumbilical pain resistant to medical therapy. Mesenteric duplex ultrasound showed aliasing with a peak systolic velocity of 234 cm/s at the celiac origin, and computed tomography angiography demonstrated mild kinking with poststenotic dilatation, consistent with celiac trunk compression. Diagnostic fluoroscopy-guided bilateral posterior retrocrural celiac plexus block (CPB) produced rapid pain reduction, enabling a full meal within 6 hours. Analgesia persisted for about 48 hours. The patient subsequently underwent open MAL decompression and remained symptom free at 18-month follow-up.
CONCLUSIONS: Our case illustrates that temporary CPB may be a useful diagnostic adjunct to identify a sympathetically mediated pain component and help guide surgical candidacy in MALS.
CASE REPORT: We report a 14-year-old male patient with 2 months of severe, stabbing periumbilical pain resistant to medical therapy. Mesenteric duplex ultrasound showed aliasing with a peak systolic velocity of 234 cm/s at the celiac origin, and computed tomography angiography demonstrated mild kinking with poststenotic dilatation, consistent with celiac trunk compression. Diagnostic fluoroscopy-guided bilateral posterior retrocrural celiac plexus block (CPB) produced rapid pain reduction, enabling a full meal within 6 hours. Analgesia persisted for about 48 hours. The patient subsequently underwent open MAL decompression and remained symptom free at 18-month follow-up.
CONCLUSIONS: Our case illustrates that temporary CPB may be a useful diagnostic adjunct to identify a sympathetically mediated pain component and help guide surgical candidacy in MALS.