肋間神経痛と診断された胃潰瘍の1例

• 檜高 育宏

  Department of Anesthesiology and Critical Care, Hiroshima University Hospital

• 河内 正治

  Department of Anesthesia, International Medical Center of Japan

書誌事項

タイトル別名

• A case report of gastric ulcer diagnosed as intercostal neuralgia

抄録

We experienced a 76-year-old man with gastric ulcer who had right anterior chest pain diagnosed as intercostal neuralgia. He had had a right lobectomy 30 years ago and it was followed by right intercostal neuralgia. He had knotted pain without trigger at night. The pain continued for 2 to 8 hours but it responded temporarily to nonsteroidal anti-inflammatory drugs (NSAIDs) given orally. He did not have allodynia. Due to complaints of sleeplessness and poor appetite with loss of weight, he was admitted to our hospital and treated by continuous epidural block for pain. With continuous epidural analgesia the chest pain disappeared, but he still could not eat anything. Since his abdominal pain had intensified, he had a screening for abdomen disorder. A large gastric ulcer was found by endoscopic examination of upper gastrointestinal tract. The ulcer responded well to medical treatment and the abdominal pain disappeared. He was discharged from our hospital after 2 months. Gastric ulcer seldom solely shows chest pain, but pain clinicians should recognize it as one of the complications of NSAIDs.

収録刊行物

• 日本ペインクリニック学会誌

  日本ペインクリニック学会誌 11 (2), 126-128, 2004

  一般社団法人 日本ペインクリニック学会

詳細情報

• CRID: 1390001204459584000
• NII論文ID: 130004239054
• DOI: 10.11321/jjspc1994.11.126
• ISSN: 18841791
• ISSN: 13404903
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可