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  Indian J Med Microbiol
 

Figure 1: Steps of ultrasound-guided celiac plexus neurolysis: (a) patient lies in supine position and the epigastric area is cleaned and draped; (b) local anesthestic agent is injected into the skin, subcutaneous tissue up to the level of peritoneum along the planned needle track; (c) ultrasound image showing the anatomical structures – celiac artery arising from aorta and bifurcating into hepatic and splenic artery. The echogenic area on both sides of celiac artery is the target location for celiac plexus neurolysis; (d) 22G Chiba needle is inserted under real-time ultrasound guidance through right transhepatic route (arrow in e) or left transhepatic (arrow in f) or transgastric route. The injected drug is seen as echogenic cloud around the celiac artery (asterisk in e and f); Ao: Aorta, CA: Celiac axis, HA: Hepatic artery, SA: Splenic artery

Figure 1: Steps of ultrasound-guided celiac plexus neurolysis: (a) patient lies in supine position and the epigastric area is cleaned and draped; (b) local anesthestic agent is injected into the skin, subcutaneous tissue up to the level of peritoneum along the planned needle track; (c) ultrasound image showing the anatomical structures – celiac artery arising from aorta and bifurcating into hepatic and splenic artery. The echogenic area on both sides of celiac artery is the target location for celiac plexus neurolysis; (d) 22G Chiba needle is inserted under real-time ultrasound guidance through right transhepatic route (arrow in e) or left transhepatic (arrow in f) or transgastric route. The injected drug is seen as echogenic cloud around the celiac artery (asterisk in e and f); Ao: Aorta, CA: Celiac axis, HA: Hepatic artery, SA: Splenic artery