title: Chronic abdominal pain secondary to mesenteric panniculitis treated successfully with endoscopic ultrasonography-guided celiac plexus block: A case report.
abstract: Mesenteric panniculitis is a chronic illness that is characterized by fibrosing inflammation of the mesenteries that can lead to intractable abdominal pain. Pain control is a crucial component of the management plan. Most patients will improve with oral corticosteroids treatment, however, some patients will require a trial of other immunosuppressive agents, and a minority of patients will continue to have refractory disease. Endoscopic ultrasound guided celiac plexus block is used frequently to control abdominal pain in patients with pancreatic pathology. To our knowledge there are no case reports describing its use in mesenteric panniculitis patients with refractory abdominal pain.
authors.affiliation: Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
authors.forename: Waleed
authors.initials: W
authors.lastname: Alhazzani
authors.affiliation: Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
authors.forename: Humaid O
authors.initials: HO
authors.lastname: Al-Shamsi
authors.affiliation: Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Greenwald
authors.affiliation: Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
authors.forename: Jasim
authors.initials: J
authors.lastname: Radhi
authors.affiliation: Waleed Alhazzani, Humaid O Al-Shamsi, Eric Greenwald, Frances Tse, Department of Medicine, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
authors.forename: Frances
authors.initials: F
authors.lastname: Tse
keywords: Abdominal pain; Celiac plexus; Endoscopic-ultrasound; Mesenteric panniculitis