J Korean Pain Soc.  1995 Apr;8(1):144-148.

Inferior Mesenteric Plexus Block Performed in the Lateral Position

• Kim CS
• Cha YD

Abstract

Inferior mesenteric plexus block (IMPB) is a useful nerve block for the relief of intractable lower abdominal and pelvic pain caused by a lower abdominal visceral or a pelvic malignancy. IMPB has been performed in the prone position. But there are many patients who can't lie in the prone position,because ascites is frequently noticed in cancer patients and they also frezuently received abdominal operations. We performed IMPB in the lateral position on two patients with lower abdominal pain. Case 1: A 77 year old female who had a right ovarian cancer with metastatic cancer of descending colon and rectum, experienced complete pain relief. Case 2: A 72 year old female who had a far advanced pancreatic cancer with intestinal obstruction due to carcinomatosis received right and left celiac plexus block and right and left IMPB.The patient was satisfied with the result of these pain blocks. Conclusion: IMAPB performed in the lateral position on two patients with lower abdominal pain and their results were excellent for pain relief.

MeSH Terms

Abdominal Pain
Aged
Ascites
Carcinoma
Celiac Plexus
Colon, Descending
Female
Humans
Intestinal Obstruction
Nerve Block
Ovarian Neoplasms
Pancreatic Neoplasms
Pelvic Pain
Prone Position
Rectum