Computed tomography guided percutaneous transdiscal splanchnic nerve block for cancer pain treatment. Case report

The majority of people with cancer will experience pain. In most cases it is related to tumor involvement or associated with cancer therapy and in 3% of cases can be unrelated to cancer or therapy [1]. Conservative treatment is effective for over 90% of patients with cancer related pain. Therefore 5-10% of these patients are needing in interventional or surgical pain treatment. Interventional methods are different nerve blocks, neurolysis/ablation, insertion of permanent ports, pumps, stimulation electrodes [2]. Splanchnic/celiac plexus neurolysis is characterizing with high success rate for intractable cancer pain relief and can be performed with different methods and approaches [2]. We are presenting two cases of computed tomography (CT) guided percutaneous splanchnic neurolytic block.