Anesthesiology, Henry Ford Health Systems, Detroit, MI 48202, USA.
Interventional Pain Medicine, Henry Ford Health Systems, Detroit, MI 48202, USA.
Pain Manag. 2021 Sep;11(5):555-559. doi: 10.2217/pmt-2020-0028. Epub 2021 May 13.
The aim of this case report is to shed light on slipping rib syndrome (SRS), a painful and overlooked condition. A 62-year old man reported intermittent, self-resolving sharp rib pain that began after a video-assisted thoracic surgery and chest tube placement 4 years prior to presentation. The patient's pain was associated with a rigid protrusion in the right upper quadrant, and home use of acetaminophen provided no relief. After physical examination, multiple imaging and lab tests, the patient was diagnosed with SRS and was referred to physical therapy and thoracic surgery for further evaluation. SRS is an under-recognized cause of upper abdominal and lower thoracic pain that should be considered if a patient's history includes previous trauma or abdominal surgery.
本病例报告旨在探讨滑动肋综合征（SRS），这是一种疼痛且易被忽视的病症。一名 62 岁男性报告说，在出现症状前 4 年，他在接受了电视辅助胸腔镜手术和放置胸腔引流管后，出现间歇性、自行缓解的肋骨锐痛。患者的疼痛与右上象限的刚性突出物有关，家用对乙酰氨基酚未能缓解疼痛。经过体格检查、多种影像学和实验室检查，患者被诊断为 SRS，并被转介至物理治疗科和胸外科进行进一步评估。SRS 是上腹部和下胸部疼痛的一个易被忽视的原因，如果患者有既往创伤或腹部手术史，应考虑这一病因。
