Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report
Introduction: Alcohol neurolysis of splanchnic nerves is a valuable tool for treating visceral intractable pain from the upper abdomen in cancer patients. It is a safe and effective procedure, yet not risk free. It’s most common adverse effects are mild and self-limited. Materials: We present a case...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36789 |
| Aporte de: |
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I10-R327-article-36789 |
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| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
ablation techniques pancreatic neoplasms intractable pain posoperative complications técnicas de ablación neoplasias pancreáticas dolor intratable complicaciones posoperatorias técnicas de ablação neoplasias pancreáticas dor intratável complicacomplicações pós-operatórias |
| spellingShingle |
ablation techniques pancreatic neoplasms intractable pain posoperative complications técnicas de ablación neoplasias pancreáticas dolor intratable complicaciones posoperatorias técnicas de ablação neoplasias pancreáticas dor intratável complicacomplicações pós-operatórias Del Valle, Juan Bautista Maritano Furcada, Joaquin Ussher, Patricio Borensztein, Matías Adrián Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| topic_facet |
ablation techniques pancreatic neoplasms intractable pain posoperative complications técnicas de ablación neoplasias pancreáticas dolor intratable complicaciones posoperatorias técnicas de ablação neoplasias pancreáticas dor intratável complicacomplicações pós-operatórias |
| author |
Del Valle, Juan Bautista Maritano Furcada, Joaquin Ussher, Patricio Borensztein, Matías Adrián |
| author_facet |
Del Valle, Juan Bautista Maritano Furcada, Joaquin Ussher, Patricio Borensztein, Matías Adrián |
| author_sort |
Del Valle, Juan Bautista |
| title |
Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| title_short |
Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| title_full |
Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| title_fullStr |
Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| title_full_unstemmed |
Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| title_sort |
hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report |
| description |
Introduction: Alcohol neurolysis of splanchnic nerves is a valuable tool for treating visceral intractable pain from the upper abdomen in cancer patients. It is a safe and effective procedure, yet not risk free. It’s most common adverse effects are mild and self-limited.
Materials: We present a case of a 72-year old woman suffering from pancreatic cancer with intractable pain despite opioid use. Alcohol neurolysis of splanchnic nerves was indicated after hospital admission.
Results: After the procedure pain was subdued, yet hypoxemia, pleural and pericardial effusion developed. Frequent causes for these events were ruled out. The patient was discharged 24 hours after with adequate pain control.
Conclusions: Hypoxemia, pleural and pericardial effusion after alcohol neurolysis of splanchnic nerves is infrequent. These findings are likely to be linked to the effect of alcohol. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36789 |
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I10-R327-article-367892022-09-29T15:08:29Z Hypoxemia, pleural and pericardial effusion after splanchnic neurolysis : a case report Hipoxemia, derrame pleural y pericárdico en neurolisis de nervios esplácnicos: reporte de caso Hipoxemia, derrame pleural e pericárdico na neurólise dos nervos esplâncnicos : relato de caso Del Valle, Juan Bautista Maritano Furcada, Joaquin Ussher, Patricio Borensztein, Matías Adrián ablation techniques pancreatic neoplasms intractable pain posoperative complications técnicas de ablación neoplasias pancreáticas dolor intratable complicaciones posoperatorias técnicas de ablação neoplasias pancreáticas dor intratável complicacomplicações pós-operatórias Introduction: Alcohol neurolysis of splanchnic nerves is a valuable tool for treating visceral intractable pain from the upper abdomen in cancer patients. It is a safe and effective procedure, yet not risk free. It’s most common adverse effects are mild and self-limited. Materials: We present a case of a 72-year old woman suffering from pancreatic cancer with intractable pain despite opioid use. Alcohol neurolysis of splanchnic nerves was indicated after hospital admission. Results: After the procedure pain was subdued, yet hypoxemia, pleural and pericardial effusion developed. Frequent causes for these events were ruled out. The patient was discharged 24 hours after with adequate pain control. Conclusions: Hypoxemia, pleural and pericardial effusion after alcohol neurolysis of splanchnic nerves is infrequent. These findings are likely to be linked to the effect of alcohol. Introducción: La neurolisis o alcoholización de los nervios esplácnicos es una valiosa herramienta para el tratamiento del dolor visceral del abdomen superior de origen neoplásico en pacientes con mala respuesta a tratamiento por vía oral. Es un procedimiento seguro y efectivo, aunque no exento de riesgos. Sus efectos adversos más frecuentes son leves y autolimitados. Materiales: Presentamos el caso de una mujer de 72 años con cáncer de páncreas y mal manejo del dolor pese al consumo de opioides. Se le indico neurolisis de los nervios esplácnicos bajo internación. Resultados: Post procedimiento presentó buen manejo del dolor, sin embargo evolucionó con hipoxemia, derrame pleural bilateral y pericárdico. Se descartaron causas frecuentes de estos eventos. La paciente fue dada de alta a las 24 hs con buen manejo del dolor. Conclusiones: El desarrollo de hipoxemia, derrame pleural bilateral y pericárdico posterior a la neurolisis de los nervios esplácnicos es una complicación infrecuente. Estos hallazgos probablemente se encuentren vinculados al efecto del alcohol. Introdução: A neurólise alcoólica dos nervos esplâncnicos é uma ferramenta valiosa para o tratamento da dor visceral intratável do abdome superior em pacientes com câncer. É um procedimento seguro e eficaz, mas não isento de riscos. Seus efeitos adversos mais comuns são leves e autolimitados. Materiais: Apresentamos o caso de uma mulher de 72 anos com câncer de pâncreas com dor intratável apesar do uso de opióides. A neurólise alcoólica dos nervos esplâncnicos foi indicada após a admissão hospitalar. Resultados: Após o procedimento, a dor foi subjugada, mas desenvolveu-se hipoxemia, derrame pleural e pericárdico. Causas frequentes para esses eventos foram descartadas. O paciente recebeu alta 24 horas após com adequado controle da dor. Conclusão: Hipoxemia, derrame pleural e pericárdico após neurólise alcoólica dos nervos esplâncnicos são infrequentes. Estos hallazgos provavelmente se encontram vinculados ao efeito do álcool. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-09-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion image imagen imagem text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36789 10.31053/1853.0605.v79.n3.36789 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 3 (2022); 285-288 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 3 (2022); 285-288 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 3 (2022); 285-288 1853-0605 0014-6722 10.31053/1853.0605.v79.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/36789/38660 https://revistas.unc.edu.ar/index.php/med/article/view/36789/38803 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |