J Korean Pain Soc.  2004 Dec;17(2):301-303. 10.3344/jkps.2004.17.2.301.

Percutaneous Radiofrequency Thermocoagulation of the Superior Hypogastric Plexus in the Treatment of Cervical Caner Pain: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. magary@cu.ac.kr

Abstract

Superior hypogastric plexus block (SHGPB) with neurolytics, such as absolute alcohol or phenol, have been known to be highly effective in patients with pelvic cancer affected by somatic and segmental pain or by perineal pain. However, these neurolytics can cause direct tissue damage to occur by spread of the neurolytic solution to the surrounding area. In the case of a 59-year-old female, who has suffered from severe lower abdominal pain (VAS 9 10) due to the metastasis of cervical caner, SHGPB was successfully performed SHGPB using a percutaneous radiofrequency thermocoagulation method (less than VAS 3). It is suggested that SHGPB by radiofrequency thermocoagulation appears to be a safe and effective procedure for the management of lower abdominal pain related to malignancy, without the complication of neurolytics.

Keyword

radiofrequency thermocoagulation; superior hypogastric plexus

MeSH Terms

Abdominal Pain
Electrocoagulation*
Ethanol
Female
Humans
Hypogastric Plexus*
Middle Aged
Neoplasm Metastasis
Pelvic Neoplasms
Phenol
Ethanol
Phenol
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