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Aortic Dissection After Celiac Plexus Block

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Challenging Cases and Complication Management in Pain Medicine

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Abstract

Celiac plexus block involves needle placement near or through the wall of the aorta. Injury to the aorta may be asymptomatic or produce a range of serious outcomes including rapid death. Data regarding the incidence of clinically significant injury are fragmentary, but the incidence is likely to be very low. Most prominent symptoms are sudden increase in abdominal pain and hypotension. The practitioner must be aware of this rare complication and be prepared to seek emergent vascular surgery consultation if it is suspected. Strategies for decreasing risk of aortic injury are uncertain but are discussed.

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Author information

Authors and Affiliations

  1. Scripps Green Hospital, La Jolla, CA, USA

    R. Lee Wagner M.D.

Authors
  1. R. Lee Wagner M.D.
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Correspondence to R. Lee Wagner M.D. .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Critical Care, University of Chicago Medicine, Chicago, Illinois, USA

    Magdalena Anitescu

  2. Department of Anesthesiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA

    Honorio T. Benzon

  3. Division of Pain Medicine, Department of Anesthesiology, University of California San Diego School of Medicine, La Jolla, California, USA

    Mark S. Wallace

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Wagner, R.L. (2018). Aortic Dissection After Celiac Plexus Block. In: Anitescu, M., Benzon, H., Wallace, M. (eds) Challenging Cases and Complication Management in Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-60072-7_23

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  • DOI: https://doi.org/10.1007/978-3-319-60072-7_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60070-3

  • Online ISBN: 978-3-319-60072-7

  • eBook Packages: MedicineMedicine (R0)

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