RESUMO
Many sub-Saharan African countries have recently acquired computed tomography scanners that make interventional radiology possible, especially for the treatment of cancer pain. We report the case of a patient with severe abdominal pain related to advanced pancreas cancer. After unsuccessful morphine treatment, he underwent CT-guided alcohol injection for neurolysis of the celiac plexus and splanchnic nerves. This report describes the technique and discusses its potential applications in tropical countries.
Assuntos
Dor Abdominal/tratamento farmacológico , Dor Abdominal/etiologia , Bloqueio Nervoso/métodos , Neoplasias Pancreáticas/complicações , Plexo Celíaco/efeitos dos fármacos , Etanol/administração & dosagem , Etanol/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Solventes/administração & dosagem , Solventes/uso terapêutico , Nervos Esplâncnicos/efeitos dos fármacos , Tomografia Computadorizada por Raios X , Medicina TropicalRESUMO
We report two cases of spontaneous small bowel hematoma in two patients receiving long-term anticoagulant therapy. Plain abdominal film, ultrasound, CT-scan and oral barium examination were performed. Abdominal ultrasonography and CT-scan are in most cases relevant for the correct diagnosis of intra-mural small bowel hematoma. The diagnosis was based on the acknowledgment by the patient of anticoagulant drug consumption. Early diagnosis is crucial because most patients are treated nonoperatively with good outcome.