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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Chronic abdominal pain secondary to mesenteric panniculitis treated successfully with endoscopic
Waleed Alhazzani1, Humaid O Al-Shamsi1, Eric Greenwald1
1Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
Abstract:
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.
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