Korean J Anesthesiol.  1997 Oct;33(4):750-752. 10.4097/kjae.1997.33.4.750.

Neurolytic Blockade of the Ganglion Impar for Relief of Cancer-Related Perianal Pain: A case report

• Kim YJ
• Kim KT
• Song CW

• KMID: 2237737
• DOI: http://doi.org/10.4097/kjae.1997.33.4.750

Abstract

The perineum refers to the anatomical area immediately below the pelvis, and is comprised of diverse anatomic and somatic innervation. Although various interventions have been proposed for the management of intractable cancer-related perineal pain, their efficacy are limited because the target of nerve blocks has focused on somatic rather than sympathetic components. Recently, blockade of the ganglion impar has been introduced as an alternative means of managing intractable neoplastic perineal pain of sympathetic origin. We successfully treated a patient who had suffered from cancer-related intractable perineal pain with ganglion impar block.

Keyword

Anesthetic techniques, sympathetic block, ganglion impar; Cancer, rectal; Pain, cancer

MeSH Terms

Ganglion Cysts*
Humans
Nerve Block
Pelvis
Perineum
Rectal Neoplasms