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Korean J Pain. 2005 Jun;18(1):74-77. Korean. Case Report.
Lee SI , Moon SK , Kim KT , Choe WJ , Park JS , Kim JW .
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea.

A neurolytic celiac plexus block produces long-lasting pain relief in upper abdominal cancer patients. Unwanted side effects such as local pain, hypotension, and diarrhea are common but the durations of these side effects are usually transient. Chronic diarrhea induced by a neurolytic celiac plexus block is rarely reported and is considered to be an autonomic neuropathy due to sympathetic denervation. A 73-year-old Klatskin tumor patient developed chronic diarrhea after a neurolytic celiac plexus block and the diarrhea was sustained for 3 months despite the use of conventional antidiarrheal treatments. We report a case of chronic diarrhea that was induced by a neurolytic celiac plexus block.

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