临床误诊误治2016,Vol.29Issue(9):13-16,4.DOI:10.3969/j.issn.1002-3429.2016.09.006
自然分娩诱发浮肋综合征一例误诊报告及文献回顾
Misdiagnosed Floating Rib Syndrome Caused by Natural Delivery (a Case Report and Literature Review)
靳大川 1袁晓燕 1杨亚琦1
作者信息
- 1. 450015 郑州,郑州市第六人民医院国际医疗部
- 折叠
摘要
Abstract
Objective To improve the understanding of floating rib syndrome by analyzing its clinical features and the causes of misdiagnosis, and summing up experience and lessons from the past. Methods The clinical data of one case of misdiagnosed and mistreated floating rib syndrome caused by natural delivery admitted to our hospital was retrospectively ana-lyzed, and literature review was studied. The pathogenesis, clinical features, diagnosis and treatment of floating rib syndrome were summarized. Results This patient was a 42-year-old American woman who was admitted to our hospital for intermittent left upper quadrant abdominal pain for 4 years. She underwent gastroendoscopic, abdominal ultrasound examination, CT scan, MRI and ECG before admission. All work-up did not show any positive findings except for superficial gastritis reported by en-doscopy. She ever took Omeprazole and Joey pills, but her symptoms were not alleviated. After her admission to our hospital, the patient was diagnosed as having floating rib syndrome because her abdominal pain could be reproduced on hooking maneu-ver. Her symptoms were alleviated after one week of TDP and oral Ibuprofen therapy. Conclusion Physicians should collect comprehensive medical history and evaluate the possibility of floating rib syndrome with hooking maneuver for any patients with abdominal pains in order to make correct diagnosis and apply appropriate treatment in time.关键词
浮肋综合征/腹痛/胃炎/误诊Key words
Floating rib syndrome/Abdominal pain/Gastritis/Misdiagnosis分类
医药卫生引用本文复制引用
靳大川,袁晓燕,杨亚琦..自然分娩诱发浮肋综合征一例误诊报告及文献回顾[J].临床误诊误治,2016,29(9):13-16,4.