Anatomical variation of the thoracic splanchnic nerves is as diverse as any structure in the body. Thoracic splanchnic nerves are derived from medial branches of the lower seven thoracic sympathetic ganglia, with the greater splanchnic nerve comprising the more cranial contributions, the lesser the middle branches, and the least splanchnic nerve usually T11 and/or T12. Much of the early anatomi...

OBJECTIVE To analyze anatomical variations associated with celiac plexus complex by means of computed tomography simulation, assessing the risk for organ injury as the transcrural technique is utilized. MATERIALS AND METHODS One hundred eight transaxial computed tomography images of abdomen were analyzed. The aortic-vertebral, celiac trunk (CeT)-vertebral, CeT-aortic and celiac-aortic-vertebr...

For patients with intractable pain, successful management can increase their quality of life. In the case of unlocalized abdominal pain resulting from non-resectable abdominal cancer, the administration of an anesthetic agent to the celiac plexus is often prescribed by physicians. The celiac plexus block is regarded as an effective, and safe procedure in the hands of a skilled clinician, with a...

BACKGROUND AND OBJECTIVES The celiac plexus is a dense autonomic network surrounding the celiac trunk. To block this plexus, the celiac trunk is a landmark for needle placement. Needles inserted at a distance from the midline, "walking off" the vertebra, may penetrate surrounding organs. We reviewed 200 computed tomography images to investigate the celiac trunk topography relating to the block....

Celiac plexus block (CPB) or celiac plexus neurolysis (CPN) is a common palliative treatment for patients with advanced pancreatic cancer. We describe a case of a patient with advanced pancreatic cancer who had undergone two separate CPB procedures who subsequently developed acute cholecystitis. The unusual nature of this case presentation is highlighted by the relative benign presentation of t...