A 59-year-old man had severe chronic diarrhea after a celiac plexus bl
ock. The block was performed because of unbearable abdominal pain caus
ed by a benign cyst in the lesser sac. The patient also had diabetes m
ellitus and was treated with metformin. Thorough investigation and var
ious therapeutic trials failed to detect the cause for the diarrhea or
to improve it. Based on the temporal relationship we wonder whether t
he diarrhea was induced by the celiac block procedure. The relevant li
terature is reviewed.