Chronic abdominal pain secondary to mesentericpanniculitis treated successfully with endoscopicultrasonography-guided celiac plexus block： A case report

• 作者: Eric Greenwald Frances Tse. Humaid O Al-Shamsi Jasim Radhi Waleed Alhazzani
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Endoscopic-ultrasound Abdominal pain CELIAC PLEXUS MESENTERIC PANNICULITIS
• 年，卷（期）: 2015,（5）
• 页码范围: 563-566
• 页数: 4页
• 分类号: R

摘要

Mesenteric panniculitis is a chronic illness that ischaracterized by fibrosing inflammation of the mesenteriesthat can lead to intractable abdominal pain. Paincontrol is a crucial component of the management plan.Most patients will improve with oral corticosteroidstreatment, however, some patients will require a trialof other immunosuppressive agents, and a minorityof patients will continue to have refractory disease.Endoscopic ultrasound guided celiac plexus block is usedfrequently to control abdominal pain in patients withpancreatic pathology. To our knowledge there are nocase reports describing its use in mesenteric panniculitispatients with refractory abdominal pain.