Thoracic Disc Herniation Manifesting as Abdominal Pain Alone Associated with Thoracic Radiculopathy

Symptomatic thoracic disc herniation (TDH) with thoracic radiculopathy alone is an extremely rare condition. Here, we report a rare case of TDH in a 52-year-old man who presented with medically refractory severe right flank pain. Based on pain distribution, pain intensity changes according to trunca...

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Bibliographic Details
Published in:NMC Case Report Journal 2020, Vol.7(4), pp.161-165
Main Authors: Ishii, Motonori, Nishimura, Yusuke, Hara, Masahito, Eguchi, Kaoru, Nagashima, Yoshitaka, Awaya, Takayuki, Ando, Ryo, Haimoto, Shoichi, Wakabayashi, Toshihiko
Format: Article
Language:English
Subjects:
abdominal wall pain
Case Report
intercostal neuralgia
posterior approach
thoracic disc herniation
thoracic radiculopathy
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Summary:Symptomatic thoracic disc herniation (TDH) with thoracic radiculopathy alone is an extremely rare condition. Here, we report a rare case of TDH in a 52-year-old man who presented with medically refractory severe right flank pain. Based on pain distribution, pain intensity changes according to truncal position, ineffectiveness of intercostal nerve block, and radiological findings, his pain was determined to be caused by TDH at T9-10 level. Symptomatic TDH often requires invasive surgery. However, TDH with radiculopathy alone can be treated via a posterior approach without spinal cord manipulation or spinal fusion. We could eliminate the pain by removing TDH with hemilaminectomy and microdiscectomy using an O-arm-based navigation system.
ISSN:2188-4226
2188-4226
DOI:10.2176/nmccrj.cr.2019-0247