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Abdomen

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Radiology of Non-Spinal Pain Procedures

Abstract

The celiac plexus or solar plexus is an intricate meshwork of nerves in the abdomen. The celiac plexus lies inferior to the celiac artery at the L1 vertebral level. It may also be located at or above the superior mesenteric artery origin. It lies behind the stomach and omentum. It is also anterior to the crura of the diaphragm. It drapes anterolaterally over the aorta on both sides. The celiac plexus is composed of preganglionic splanchnic nerve endings, sensory fibers from the splenic nerve, preganglionic parasympathetic fibers from the vagus nerve, and postganglionic nerve fibers emanating into the viscera. The celiac plexus block would involve afferent nociceptive nerves fibers from most of the viscera of the abdomen (Figs. 4.1 and 4.2).

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References

  • Schneider-Kolsky ME, Pike J, Connell DA. CT-guided suprascapular nerve blocks: a pilot study. Skeletal Radiol. 2004; 33(5):277-82

    Google Scholar 

  • Beltran J, Rosenberg ZS. Diagnosis of compressive and entrapment neuropathies of the upper extremity: value of MR imaging. AJR Am J Roentgenol. 1994;163(3):525-31

    Google Scholar 

  • Ugur F, Gulcu N, Boyaci A. Celiac plexus block with the long stylet needle technique. Adv Ther. 2007;24(2):296-301

    Google Scholar 

  • Romanelli DF, Beckmann CF, Heiss FW. Celiac plexus block: efficacy and safety of the anterior approach. AJR Am J Roentgenol. 1993;160(3):497-500

    PubMed  CAS  Google Scholar 

  • Marra V, Debernardi F, Frigerio A, Menna S, Musso L, Di Virgilio MR. Neurolytic block of the celiac plexus and splanchnic nerves with computed tomography. The experience in 150 cases and an optimization of the technic. Radiol Med (Torino). 1999;98(3):183-8 [Italian]

    Google Scholar 

  • Hol PK, Kvarstein G, Viken O, Smedby O, Tønnessen TI. MRI-guided celiac plexus block. J Magn Reson Imaging. 2000; 12(4):562-4

    Google Scholar 

  • Gress F, Schmitt C, Sherman S, Ikenberry S, Lehman G. A prospective randomized comparison of endoscopic ultrasound- and computed tomography-guided celiac plexus block for managing chronic pancreatitis pain. Am J Gastroenterol. 1999;94(4):900-5

    Article  PubMed  CAS  Google Scholar 

  • Gress F, Schmitt C, Sherman S, Ciaccia D, Ikenberry S, Lehman G. Endoscopic ultrasound-guided celiac plexus block for managing abdominal pain associated with chronic pancreatitis: a prospective single center experience. Am J Gastroenterol. 2001;96(2):409-16

    Article  PubMed  CAS  Google Scholar 

  • Akhan O, Ozmen MN, Basgun N, Akinci D, Oguz O, Koroglu M, Karcaaltincaba M. Long-term results of celiac ganglia block: correlation of grade of tumoral invasion and pain relief. AJR Am J Roentgenol. 2004;182(4):891-6

    PubMed  Google Scholar 

  • Davies DD. Incidence of major complications of neurolytic coeliac plexus block. J R Soc Med. 1993;86(5):264-6

    PubMed  CAS  Google Scholar 

  • Fitzgibbon DR, Schmiedl UP, Sinanan MN. Computed tomography-guided neurolytic celiac plexus block with alcohol complicated by superior mesenteric venous thrombosis. Pain. 2001;92(1-2):307-10

    Article  PubMed  CAS  Google Scholar 

  • Sett SS, Taylor DC. Aortic pseudoaneurysm secondary to celiac plexus block. Ann Vasc Surg. 1991;5(1):88-91

    Article  PubMed  CAS  Google Scholar 

  • Biglioli P, Roberto M, Cannata A, Parolari A, Fumero A, Grillo F, Maggioni M, Coggi G, Spirito R. Upper and lower spinal cord blood supply: the continuity of the anterior spinal artery and the relevance of the lumbar arteries. J Thorac Cardiovasc Surg. 2004;127(4):1188-92

    Article  PubMed  Google Scholar 

  • Uotani K, Yamada N, Kono AK, Taniguchi T, Sugimoto K, Fujii M, Kitagawa A, Okita Y, Naito H, Sugimura K. Preoperative visualization of the artery of Adamkiewicz by intra-arterial CT angiography. AJNR Am J Neuroradiol. 2008;29(2):314-8

    Article  PubMed  CAS  Google Scholar 

  • Kirvelä O, Svedström E, Lundbom N. Ultrasonic guidance of lumbar sympathetic and celiac plexus block: a new technique. Reg Anesth. 1992;17(1):43-6

    Google Scholar 

  • Sze DY, Mackey SC. MR guidance of sympathetic nerve blockade: measurement of vasomotor response initial experience in seven patients. Radiology. 2002;223(2):574-80

    Article  PubMed  Google Scholar 

  • Rathmell JP. Atlas of image-guided intervention in regional anesthesia and pain medicine. Philadelphia, PA: Lippincott Williams and Wilkins, 2006

    Google Scholar 

  • Gangi A, Dietemann JL, Schultz A, Mortazavi R, Jeung MY, Roy C. Interventional radiologic procedures with CT guidance in cancer pain management. Radiographics. 1996;16(6): 1289-304; discussion 1304-6

    Google Scholar 

  • Titton RL, Lucey BC, Gervais DA, Boland GW, Mueller PR. Celiac plexus block: a palliative tool underused by radiologists. AJR Am J Roentgenol. 2002;179(3):633-6

    PubMed  Google Scholar 

  • Giménez A, Martínez-Noguera A, Donoso L, Catalá E, Serra R. Percutaneous neurolysis of the celiac plexus via the anterior approach with sonographic guidance. AJR Am J Roentgenol. 1993;161(5):1061-3

    Google Scholar 

  • Imbriaco M, Megibow AJ, Camera L, Pace L, Mainenti PP, Romano M, Selva G, Salvatore M. Dual-phase versus single-phase helical CT to detect and assess resectability of pancreatic carcinoma. AJR Am J Roentgenol. 2002;178(6):1473-9

    PubMed  Google Scholar 

  • Weiss LD. Easy injections. Philadelphia, PA: Elsevier, 2007. NLM ID: 101308328

    Google Scholar 

  • Gray H. Anatomy of the Human Body. 20th ed. Thoroughly revised and re-edited by Warren H. Lewis. Philadelphia: Lea & Febiger, 1918.

    Google Scholar 

  • Stallard DJ, Tu RK, Gould MJ, Pozniak MA, Pettersen JC. Minor vascular anatomy of the abdomen and pelvis: a CT atlas. Radiographics. 1994;14(3):493-513

    PubMed  CAS  Google Scholar 

  • Zinreich SJ, Murphy, K, Silbergleit, R. Invited commentary. Author’s response. Radiographics. 2001;21:940

    Google Scholar 

  • Catalano C, Fraioli F, Laghi A, Napoli A, Bezzi M, Pediconi F, Danti M, Nofroni I, Passariello R. Infrarenal aortic and lower-extremity arterial disease: diagnostic performance of multi-detector row CT angiography. Radiology. 2004;231(2): 555-63

    Article  PubMed  Google Scholar 

  • Rhim H, Dodd GD, III, Chintapalli KN, Wood BJ, Dupuy DE, Hvizda JL, Sewell PE, Goldberg SN. Radiofrequency thermal ablation of abdominal tumors: lessons learned from complications. Radiographics. 2004;24:41-52

    Google Scholar 

  • Wright LB, Matchett WJ, Cruz CP, James CA, Culp WC, Eidt JF, McCowan TC. Popliteal artery disease: diagnosis and treatment. Radiographics. 2004;24(2):467-79. Review

    Google Scholar 

  • Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, Jones DN. Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg. 1997;26(3):517-38

    Google Scholar 

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Correspondence to Mubin I. Syed MD, FSIR, FACR .

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© 2011 Springer Berlin Heidelberg

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Syed, M.I., Shaikh, A. (2011). Abdomen. In: Radiology of Non-Spinal Pain Procedures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00481-0_4

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  • DOI: https://doi.org/10.1007/978-3-642-00481-0_4

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