Anesth Pain Med.  2009 Oct;4(4):290-293.

Diaphragmatic paralysis following alcohol celiac plexus neurolysis and a review of literature: A case report

• Kim JH
• Park SY
• Nahm S
• Sung B
• Kim YC
• Lee SC

Abstract

A 54-year-old man who had metastasis of gastric cancer was referred to pain clinic to control his severe epigastric pain.After the confirmation of the effect of the diagnostic celiac plexus block, c-arm-guided neurolysis of celiac plexus using alcohol was performed without any sensory or motor change.Five days after the chemical neurolysis, elevated hemidiaphragm and basal atelectasis of right lung were noted at routine chest X-ray follow-up without any respiratory symptoms such as dyspnea.There was no evidence of diaphragmatic metastasis. Two months after the neurolysis, the radiographic finding did not show any change.

Keyword

Cancer; Celiac plexus block; Complication; Diaphragmatic paralysis; Neurolysis

MeSH Terms

Celiac Plexus
Follow-Up Studies
Humans
Lung
Middle Aged
Neoplasm Metastasis
Nerve Block
Pain Clinics
Pulmonary Atelectasis
Respiratory Paralysis
Stomach Neoplasms
Thorax