Abstract
We planned to perform a splanchnic nerve block with the guidance of fluoroscopy to a patient in his 80s who complained of postoperative recurrent abdominal pain after surgical treatment of gallbladder cancer. We assessed that his spinal deformity was severe and his range of posture was restrictive because of the pain. Under biplane fluoroscopy, we rapidly identified the target spot on both his ventral and lateral sides where the needle needed to be placed. When the osteophyte interrupted the manipulative procedure, cone beam CT helped it verify the needle tip placement adequately. Cone beam CT and biplane fluoroscopy may be helpful for block therapy with patients who require the treatment for a short time, who limit their range of posture, and who have a high degree of difficulty for treatment in anatomically.
