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KMID : 0363119950080010144
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Korean Journal of Pain
1995 Volume.8 No. 1 p.144 ~ p.148
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Inferior Mesenteric Plexus Block Performed in the Lateral Position
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Abstract
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Inferior mesenteric mesenteric plexus block (IMPB) sa useful nerve block for the relief of intractable lower abdominal and pelvic pain caused by a lower abdominal visceral or a pelvic malignancy.
IMPB has been performed in the prone position. But there are many patients who can't lie in the prone position, because ascites is frequently noticed in cancer paitnets and they also frequently received abdominal operations.
We performed IMPB in the lateral position on two patients with lower abdominal pain,
Case 1: A 77 year old female who had a right ovarian cancer with metastatic cancer of descending colon and rectum, experienced complete pain relief.
Case 2:A 72 year old female who had a far advance pancreatic cancer with intestinal obstruction due to carcinomatosis received right and left celiac plexus block and right and left IMPB. The patient was satisfied with the result of these pain
blocks.
Conclusion; IMAPB performed in the lateral position on two patients with lower abdominal pain and their results were excellent for pain relief.
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