A case of intractable chronic abdominal pain caused by hepatomegaly associated with primary amyloidosis, successfully treated with celiac plexus block

• MORITA Shinichi

• SUGITANI Soichi

• KOBAYASHI Yuka

• HARA Hiroko

• NONAKA Masaya

• FUJIWARA Shinichi

• HORI Takashiro

• IIRI Takao

  Department of Gastroenterology, Tachikawa General Hospital

Bibliographic Information

Other Title

• 原発性アミロイドーシスの肝腫大にともなう難治性腹痛に対し腹腔神経叢ブロックが著効した１例

Abstract

A 51-year-old female previously diagnosed as primary amyloidosis suffered from recurrent abdominal pain. The result of thorough examination indicated that the main cause of the pain was severe hepatomegaly. Continuous venous administration of narcotics and other alternative therapies did not provide symptomatic relief, and thus the patient was treated with celiac plexus block, which resulted in effective pain control and improved ADL level. Though the procedure of celiac plexus block is simple and celiac plexus block is applicable without causing severe complication, it is not widely used. From this case, it is considered that celiac plexus block is one of the most effective means to relieve intractable pain associated with both benign malady and abdominal malignant tumor.<br>

Journal

• Nippon Shokakibyo Gakkai Zasshi

  Nippon Shokakibyo Gakkai Zasshi 104 (4), 573-578, 2007

  The Japanese Society of Gastroenterology

Keywords

• 腹腔神経叢ブロック
• 原発性アミロイドーシス
• 肝腫大

Details

• CRID: 1390001206399993600
• NII Article ID: 10018886229
• NII Book ID: AN00192124
• DOI: 10.11405/nisshoshi.104.573
• ISSN: 13497693
• ISSN: 04466586
• Web Site: https://search.jamas.or.jp/link/ui/2007207142
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed