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巨大剑突引起的剑突痛

Xiphodynia Caused by a Large Xiphoid Process.

作者信息

Tsuchida Tomoya, Ishizuka Kosuke, Ohira Yoshiyuki

机构信息

Internal Medicine, St. Marianna University School of Medicine, Kanagawa, JPN.

General Medicine, Yokohama City University School of Medicine, Yokohama, JPN.

出版信息

Cureus. 2023 Sep 1;15(9):e44516. doi: 10.7759/cureus.44516. eCollection 2023 Sep.

DOI:10.7759/cureus.44516
PMID:37790055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544598/
Abstract

We present the case of a 72-year-old man with a three-month history of epigastric pain. A physical examination revealed a tender, hard mass around the epigastric area. Enhanced CT showed no chest or abdominal abnormalities, except for a large xiphoid process. The diagnosis was xiphodynia caused by a large xiphoid process. Xyphoidynia should be considered a differential diagnosis for epigastric pain.

摘要

我们报告一例72岁男性，有三个月的上腹部疼痛病史。体格检查发现上腹部区域有一个压痛性硬块。增强CT显示胸部和腹部无异常，除了一个大的剑突。诊断为大剑突引起的剑突痛。剑突痛应被视为上腹部疼痛的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea34/10544598/05e34e82bf39/cureus-0015-00000044516-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea34/10544598/05e34e82bf39/cureus-0015-00000044516-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea34/10544598/05e34e82bf39/cureus-0015-00000044516-i01.jpg

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本文引用的文献

1
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2
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J Thorac Dis. 2021 Apr;13(4):2216-2223. doi: 10.21037/jtd-20-3396.
3
Xiphodynia.
Am J Med. 2021 Mar;134(3):e215-e216. doi: 10.1016/j.amjmed.2020.08.033. Epub 2020 Sep 28.
4
Heterotopic Ossification of the Xiphoid After Chest Compressions.胸骨按压后剑突骨异位骨化。
Ann Thorac Surg. 2019 Dec;108(6):e347-e348. doi: 10.1016/j.athoracsur.2019.03.110. Epub 2019 May 17.
5
Xiphoid Process Variations: A Review with an Extremely Unusual Case Report.剑突变异：一篇伴有极罕见病例报告的综述
Cureus. 2017 Aug 27;9(8):e1613. doi: 10.7759/cureus.1613.
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7
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Occup Med (Lond). 2014 Jan;64(1):64-6. doi: 10.1093/occmed/kqt132. Epub 2013 Dec 11.
8
Postoperative elongation of the xiphoid process --report of a case--.剑突术后延长——病例报告——
Ann Thorac Cardiovasc Surg. 2011;17(3):307-9.
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