Parietal abdominal pain with lower leg discrepancy: a case report
Abstract Background This report involves the first publication describing a case of parietal abdominal pain due to lower limb length discrepancy. Case presentation A Caucasian male patient in his 50s was referred to our rehabilitation department with chronic abdominal pain that began in childhood. T...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-024-04489-0 |
| _version_ | 1827284296474296320 |
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| author | Agnès Gritli David Cadavid Ramirez Pierre Decavel |
| author_facet | Agnès Gritli David Cadavid Ramirez Pierre Decavel |
| author_sort | Agnès Gritli |
| collection | DOAJ |
| description | Abstract Background This report involves the first publication describing a case of parietal abdominal pain due to lower limb length discrepancy. Case presentation A Caucasian male patient in his 50s was referred to our rehabilitation department with chronic abdominal pain that began in childhood. This chronic pain was associated with episodes of acute pain that were partially relieved by grade 3 analgesics. The patient was unable to sit for long periods, had recently lost his job, and was unable to participate in recreational activities with his children. Investigations revealed contracture and hypertrophy of the external oblique muscle and an limb length discrepancy of 3.8 cm (1.5 inches) in the left lower limb. The patient was effectively treated with a heel raise, physiotherapy, intramuscular injection of botulinum toxin, and lidocaine. The patient achieved the therapeutic goals of returning to work, and reducing analgesic use. Conclusions Structural misbalances, as may be caused by lower leg discrepancy, may trigger muscular compensations and pain. Complete anamnesis and clinical examination must not be trivialized and may reveal previously ignored information leading to a proper diagnosis. |
| first_indexed | 2024-04-24T09:53:21Z |
| format | Article |
| id | doaj.art-7f4c492387de4efb896f799b262b0159 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-24T09:53:21Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-7f4c492387de4efb896f799b262b01592024-04-14T11:17:27ZengBMCJournal of Medical Case Reports1752-19472024-04-011811810.1186/s13256-024-04489-0Parietal abdominal pain with lower leg discrepancy: a case reportAgnès Gritli0David Cadavid Ramirez1Pierre Decavel2Department of Readaptation, HFR Fribourg Hôpital cantonalDepartment of Readaptation, HFR Fribourg Hôpital cantonalDepartment of Readaptation, HFR Fribourg Hôpital cantonalAbstract Background This report involves the first publication describing a case of parietal abdominal pain due to lower limb length discrepancy. Case presentation A Caucasian male patient in his 50s was referred to our rehabilitation department with chronic abdominal pain that began in childhood. This chronic pain was associated with episodes of acute pain that were partially relieved by grade 3 analgesics. The patient was unable to sit for long periods, had recently lost his job, and was unable to participate in recreational activities with his children. Investigations revealed contracture and hypertrophy of the external oblique muscle and an limb length discrepancy of 3.8 cm (1.5 inches) in the left lower limb. The patient was effectively treated with a heel raise, physiotherapy, intramuscular injection of botulinum toxin, and lidocaine. The patient achieved the therapeutic goals of returning to work, and reducing analgesic use. Conclusions Structural misbalances, as may be caused by lower leg discrepancy, may trigger muscular compensations and pain. Complete anamnesis and clinical examination must not be trivialized and may reveal previously ignored information leading to a proper diagnosis.https://doi.org/10.1186/s13256-024-04489-0Parietal abdominal painLower leg discrepancyBotulinum toxin |
| spellingShingle | Agnès Gritli David Cadavid Ramirez Pierre Decavel Parietal abdominal pain with lower leg discrepancy: a case report Journal of Medical Case Reports Parietal abdominal pain Lower leg discrepancy Botulinum toxin |
| title | Parietal abdominal pain with lower leg discrepancy: a case report |
| title_full | Parietal abdominal pain with lower leg discrepancy: a case report |
| title_fullStr | Parietal abdominal pain with lower leg discrepancy: a case report |
| title_full_unstemmed | Parietal abdominal pain with lower leg discrepancy: a case report |
| title_short | Parietal abdominal pain with lower leg discrepancy: a case report |
| title_sort | parietal abdominal pain with lower leg discrepancy a case report |
| topic | Parietal abdominal pain Lower leg discrepancy Botulinum toxin |
| url | https://doi.org/10.1186/s13256-024-04489-0 |
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