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

Farhad Tavakoli; Fardin Yousefshahi; Arman Dabir; Hossein Majedi

doi:10.5812/aapm.94706

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

Anesth Pain Med. 2019 Oct 21;9(5):e94706. doi: 10.5812/aapm.94706. eCollection 2019 Oct.

Authors

Farhad Tavakoli^{1

2}, Fardin Yousefshahi^{1

2}, Arman Dabir^{1

2}, Hossein Majedi^{1

2}

Affiliations

¹ Brain and Spinal Cord Injury Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
² Department of Anesthesiology, Critical Care and Pain Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Introduction: Patients with severe visceral abdominal or pelvic pain are sometimes candidates for celiac or superior hypogastric block. These blocks are performed in the prone position that is usually very painful for these patients. We introduce another position for these blocks that can be better tolerated.

Case presentation: We performed the superior hypogastric plexus block in the lateral position in a patient who was suffering from severe abdominal and pelvic pain. The procedure was done under the guide of C-Arm fluoroscopy. After the procedure, the pain score reduced to 2 out of 10 on the 11-point Numeric Rating Scale and the patient was discharged without any complication.

Conclusions: Superior hypogastric plexus block in the lateral position was safe and effective for a patient with severe abdominal and pelvic pain.

Keywords: Block; Cancer; Hypogastric Plexus; Intra-Abdominal; Lateral Position; Pain; Pelvic Pain.

Publication types

Case Reports