Superior Hypogastric Plexus Block in the Lateral Position: A Case Report

Area of Science:

• Pain management
• Interventional pain procedures
• Regional anesthesia

Background:

• Severe visceral abdominal and pelvic pain often requires interventions like celiac or superior hypogastric plexus block.
• The prone position, traditionally used for these blocks, can be highly painful for patients.
• Exploring alternative positions is crucial for improving patient comfort and tolerability during these procedures.

Observation:

• A superior hypogastric plexus block was successfully performed in a patient with severe abdominal and pelvic pain using the lateral position.
• C-arm fluoroscopy was utilized for guidance during the procedure.
• The patient reported a significant reduction in pain score post-procedure.

Findings:

• The superior hypogastric plexus block in the lateral position resulted in a pain score reduction from baseline to 2/10 on the Numeric Rating Scale.
• The patient experienced no complications and was discharged following the procedure.
• This case demonstrates the feasibility of the lateral approach.

Implications:

• The lateral position for superior hypogastric plexus block offers a potentially more tolerable alternative for patients experiencing severe abdominal and pelvic pain.
• This technique may enhance patient compliance and reduce procedural discomfort.
• Further studies are warranted to validate the safety and efficacy of the lateral position in a larger patient cohort.