A 55-year-old woman with advanced cervical cancer has severe pelvic pain unresponsive to high-dose oral opioids. A coeliac plexus block is not indicated. Which nerve block specifically targets visceral pain from uterine, cervical, and bladder malignancies?

• A Coeliac plexus block
• B Superior hypogastric plexus block ✓
• C Ganglion impar block
• D Lumbar sympathetic block

Explanation

The superior hypogastric plexus block is indicated for visceral pelvic pain from malignancies of the uterus, cervix, bladder, and proximal rectum. The coeliac plexus block targets upper gastrointestinal malignancies (pancreas, stomach, liver). The ganglion impar block is for perineal and distal rectal pain. The lumbar sympathetic block is used for sympathetic-mediated pain of the lower limb, not pelvic visceral pain.

Reference: Interventional Pain Management, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.