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Chronic diarrhea--induced by celiac plexus block?

I Gafanovich1, Y Shir, E Tsvang

  • 1Department of Medicine, Hadassah University Hospital, Jerusalem, Israel.

Journal of Clinical Gastroenterology
|July 2, 1998
PubMed
Summary
This summary is machine-generated.

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A celiac plexus block may cause severe chronic diarrhea in patients, even after treatment for abdominal pain. Further investigation is needed to understand this potential complication and guide patient care.

Area of Science:

  • Gastroenterology
  • Pain Management
  • Neurology

Background:

  • Severe chronic diarrhea is a debilitating condition.
  • Celiac plexus block is a procedure used to manage abdominal pain.

Observation:

  • A 59-year-old male patient developed severe chronic diarrhea post-celiac plexus block.
  • The block was performed for intractable abdominal pain due to a benign cyst.
  • The patient had a history of diabetes mellitus treated with metformin.

Findings:

  • Extensive investigations and treatments did not identify the cause or alleviate the diarrhea.
  • A temporal association suggests the celiac plexus block may have induced the chronic diarrhea.
  • Literature review on this potential adverse effect is warranted.

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Implications:

  • This case highlights a potential, under-recognized complication of celiac plexus block.
  • Further research is needed to confirm the causal link and elucidate the mechanism.
  • Clinicians should consider this possibility when managing patients with post-procedural diarrhea.