Chronic abdominal pain secondary to mesenteric panniculitis treated successfully with endoscopic ultrasonography-guided celiac plexus block: A case report  

作　　者：Waleed Alhazzani Humaid O Al-Shamsi Eric Greenwald Jasim Radhi Frances Tse 

机构地区：[1]Department of Medicine, Mc Master University [2]Department of Clinical Epidemiology and Biostatistics, Mc Master University [3]Department of Pathology and Molecular Medicine, Mc Master University

出　　处：《World Journal of Gastrointestinal Endoscopy》2015年第5期563-566,共4页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：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.Mesenteric panniculitis is a chronic illness that ischaracterized by fibrosing inflammation of the mesenteriesthat can lead to intractable abdominal pain. Paincontrol is a crucial component of the management plan.Most patients will improve with oral corticosteroidstreatment, however, some patients will require a trialof other immunosuppressive agents, and a minorityof patients will continue to have refractory disease.Endoscopic ultrasound guided celiac plexus block is usedfrequently to control abdominal pain in patients withpancreatic pathology. To our knowledge there are nocase reports describing its use in mesenteric panniculitispatients with refractory abdominal pain.

关 键 词：Endoscopic-ultrasound Abdominal pain CELIAC PLEXUS MESENTERIC PANNICULITIS 

分 类 号：R572.3[医药卫生—消化系统]