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Chronic abdominal pain secondary to mesenteric panniculitis treated successfully with endoscopic ultrasonography-guided celiac plexus block: A case report |
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| Authors: | Waleed Alhazzani Humaid O Al-Shamsi Eric Greenwald Jasim Radhi Frances Tse |
| Affiliation: | Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, CanadaWaleed Alhazzani, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8S 4L8, CanadaJasim Radhi, Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada |
| Abstract: | Mesenteric panniculitis is a chronic illness that is characterized by fibrosing inflammation of the mesenteries that can lead to intractable abdominal pain. Pain control is a crucial component of the management plan. Most patients will improve with oral corticosteroids treatment, however, some patients will require a trial of other immunosuppressive agents, and a minority of patients will continue to have refractory disease. Endoscopic ultrasound guided celiac plexus block is used frequently to control abdominal pain in patients with pancreatic pathology. To our knowledge there are no case reports describing its use in mesenteric panniculitis patients with refractory abdominal pain. |
| Keywords: | Endoscopic-ultrasound Abdominal pain Celiac plexus Mesenteric panniculitis |
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