Superior hypogastric plexus block for chronic pelvic pain in the presence of endometriosis: CT techniques and results

Wechsler RJ, R J Wechsler, P M Maurer, Maurer PM, Philip Maurer, Halpern EJ, E J Halpern, Ethan J. Halpern, E D Frank, Frank ED, Eugene D. Frank
Radiology · 1995 · vol. 196(1) , pp. 103–106 · doi:10.1148/radiology.196.1.7784552 · PMID:7784552 · W2095208023
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Computed tomographic-guided superior hypogastric plexus block was performed in five women with endometriosis and chronic pelvic pain, yielding pain relief in most procedures without significant complications.

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Abstract

PURPOSE: To evaluate the use of superior hypogastric plexus block with computed tomographic (CT) guidance in patients with endometriosis and chronic pelvic pain. MATERIALS AND METHODS: Seven blocks were performed on an outpatient basis in five women with endometriosis and pelvic pain. In the first four patients, one or two 20-gauge, 15-cm needles were placed anterior to the spine at the common iliac bifurcation from a posterior approach. In the fifth patient, the block was performed from an anterior approach with a single needle. RESULTS: One procedure resulted in mild pain relief, three in considerable pain relief, one in complete midline pain relief with no change in the lateral pain, and one in complete pain relief. One procedure was terminated because anesthetic was injected into the peritoneal cavity. There were no other complications. CONCLUSION: CT-guided superior hypogastric plexus block is easily performed and can be used to assess whether chronic pelvic pain can be attenuated by blocking the superior hypogastric plexus.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Autonomic Nerve Block Autonomic Nerve Block Endometriosis Hypogastric Plexus Hypogastric Plexus Pelvic Pain Radiography, Interventional Radiography, Interventional Tomography, X-Ray Computed Tomography, X-Ray Computed Tomography, X-Ray Computed Adult Adult Chronic Disease Chronic Disease Endometriosis Endometriosis Female Female Humans

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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License: CC0 · commercial use OK