The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Treatment of a Twelfth Rib Syndrome -A case report-

열두 번째 갈비뼈 증후군 환자의 치료경험 -증례보고-

  • Choi, Jong Bum (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine) ;
  • Yoon, Kyung Bong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine,Anesthesia and Pain Research Institute, Yonsei University College of Medicine) ;
  • Kim, Won Oak (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine,Anesthesia and Pain Research Institute, Yonsei University College of Medicine) ;
  • Yoon, Duck Mi (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine,Anesthesia and Pain Research Institute, Yonsei University College of Medicine)
  • 최종범 (연세대학교 의과대학 마취통증의학교실) ;
  • 윤경봉 (연세대학교 의과대학 마취통증의학교실,마취통증의학연구소) ;
  • 김원옥 (연세대학교 의과대학 마취통증의학교실,마취통증의학연구소) ;
  • 윤덕미 (연세대학교 의과대학 마취통증의학교실,마취통증의학연구소)
  • Received : 2008.10.01
  • Accepted : 2008.12.10
  • Published : 2009.04.01
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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.

Keywords

References

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