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Thoracic Disc Herniation Presenting with Predominantly Abdominal Pain. Case Report Hiroyasu FUJIWARA 1 , Takashi KAITO 1 , Takahiro MAKINO 1 , Kazuo YONENOBU 1 1Department of Orthopaedic Surgery, National Hospital Organization Osaka Minami Medical Center Keyword: 胸椎椎間板ヘルニア , thoracic disc herniation , 腹痛 , abdominal pain , 脊髄症 , myelopathy pp.167-171
Published Date 2012/2/25
DOI https://doi.org/10.11477/mf.1408102257
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 We report a rare case of thoracic disc herniation with predominantly abdominal pain. A 45-year-old man experienced the sudden onset abdominal pain and came to our internal medicine outpatient clinic, but because of obvious concomitant paraplegia he was referred to our department. Physical examination revealed spastic paraplegia below the T10 dermatome level. Thoracic MRI showed disc herniation at the T9-10 level. He was treated by herniotomy, and his abdominal pain completely disappeared immediately after the operation. Surgeons should be aware of such atypical presentations of thoracic disc herniation to prevent misdiagnosis and progression to irreversible myelopathy.


Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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