Acute ureteral obstruction following superior hypogastric plexus block: A case report

Moon, Bo Eun; Do, Hye Jin; Ghil, Jee Song; Kim, Do Hyeong; Lee, Kwang Ho

Case Report

Spinal Pain

Anesthesia and Pain Medicine 2014;9(4):254-257.
Published online October 31, 2014.

Acute ureteral obstruction following superior hypogastric plexus block: A case report

Bo Eun Moon, Hye Jin Do, Jee Song Ghil, Do Hyeong Kim, Kwang Ho Lee

¹Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. khlee6006@yonsei.ac.kr
²Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Severance Hospital, Seoul, Korea.

Received: 3 April 2014 • Revised: 23 May 2014 • Accepted: 17 June 2014

Abstract

Pelvic visceral pain associated with both cancer and chronic benign conditions may be alleviated by superior hypogastric plexus block (SHPB). The complications of SHPB include infection, bleeding, or intravascular injection because of the adjacent location of the iliac vessel to the route of needle insertion, and pelvic visceral damage. However, acute ureteral obstruction leading to acute renal failure (ARF) as a complication of SHPB has not been reported to date in the literature. We report a patient with ARF that resulted from acute ureteral obstruction following SHPB performed for the relief of lower abdominal pain and tenesmus in metastatic ureter cancer.

Key Words: Acute ureteral obstruction, Pain, Superior hypogastric plexus