• Users Online: 238
  • Print this page
  • Email this page
CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 31-32

Thoracic facet arthropathy presenting with pain abdomen: An unusual presentation


1 Fellow, Daradia: The Pain Clinic, Kolkata, West Bengal, India
2 Director, Daradia: The Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Shane Meraj
Fellow, Daradia: The Pain Clinic, Kolkata, West Bengal
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0033

Rights and Permissions

This case report is about a patient with thoracic facet arthropathy presenting with abdominal pain, who underwent multiple investigations and treatment for abdominal visceral conditions with no relief of his pain. A 29 years male presented to our pain clinic with episodic, severe left chest wall, and upper abdominal pain. In the last 4 years, he had been treated for various abdominal visceral conditions. He was then diagnosed as a case of intercostal neuralgia and 12th rib (the twelfth rib syndrome). He was treated with anticonvulsants and antidepressants, as well as intercostal nerve block, tender point injection and intercostal nerve radiofrequency (RF), but with partial relief. Careful history and clinical examination revealed left lower thoracic facet joint involvement. Diagnostic block of medial branch of left 10, 11 and 12th thoracic dorsal rami was done with 90% pain relief. This case emphasises that in any case of abdominal pain, spine should be examined because referred pain from spine can be an important etiology of pain abdomen. Careful history, examination and appropriate investigations should be done to rule out abdominal pathologies, and to arrive at a diagnosis. A thorough history, meticulous examination, and diagnostic blocks if required are very important to localize the pain generators.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed326    
    Printed28    
    Emailed0    
    PDF Downloaded39    
    Comments [Add]    

Recommend this journal