Treatment of a Twelfth Rib Syndrome : A case report.
- Author:
Jong Bum CHOI
1
;
Kyung Bong YOON
;
Won Oak KIM
;
Duck Mi YOON
Author Information
- Publication Type:Case Report
- Keywords: abdominal pain; intercostal nerve; thoracic pain; twelfth rib syndrome
- MeSH: Abdominal Pain; Adult; Electrocardiography; Flank Pain; Humans; Intercostal Nerves; Male; Pain Clinics; Ribs
- From:The Korean Journal of Pain 2009;22(1):96-98
- CountryRepublic of Korea
- Language:Korean
- Abstract: Twelfth rib syndrome is thought to be due to intercostal nerve irritation by a mobile twelfth rib, and presents with upper abdominal pain, or low thoracic pain. This syndrome appears to be a fairly common entity and diagnosis is based on clinical findings. Patients with twelfth rib syndrome can be misdiagnosed when it has been overlooked. We report a case of a 34-year-old male along with a presentation of twelfth rib syndrome. One patient was transferred from urologic clinic to pain clinic due to right flank pain and admitted. The patient had direct tenderness on twelfth rib area and direct tenderness was reproducible. Pain increased when the patient flexed laterally, rotated trunk. There were no specific abnormal findings in laboratory test, electrocardiogram, and radiologic examination. After intercostal nerve block and epidural block, pain decreased and the patient was discharged.
