Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –

Background Pleurisy is an inflammation of the parietal pleura and is characterized by pleuritic pain. The most common cause of pleurisy is infection; other causes include rheumatoid arthritis, malignancy, rib fractures, or trauma. Possible causes of chest pain associated with golf include costochond...

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Main Authors: Jihye Park, Su Jin Kim, Hyunho Kim, Haesun Jung, Hwa Yong Shin
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2023-01-01
Series:Anesthesia and Pain Medicine
Subjects:
Online Access:http://www.anesth-pain-med.org/upload/pdf/apm-22182.pdf
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author Jihye Park
Su Jin Kim
Hyunho Kim
Haesun Jung
Hwa Yong Shin
author_facet Jihye Park
Su Jin Kim
Hyunho Kim
Haesun Jung
Hwa Yong Shin
author_sort Jihye Park
collection DOAJ
description Background Pleurisy is an inflammation of the parietal pleura and is characterized by pleuritic pain. The most common cause of pleurisy is infection; other causes include rheumatoid arthritis, malignancy, rib fractures, or trauma. Possible causes of chest pain associated with golf include costochondritis, stress fractures of the ribs, intercostal muscle strain, or, rarely, Tietze’s syndrome and slipping rib syndrome. Case A 64-year-old female presented with intractable chest pain that began 4 months prior while playing golf. No specific cause was found after various examinations. There was persistent pain despite medical treatment. Ultrasonography (US) was performed over the painful areas, which revealed focal pleural effusions. A mixture of ropivacaine and triamcinolone was injected into the focal pleural effusions using US guidance, which dramatically relieved her pain. Conclusions This case demonstrates that US can be used as a diagnostic and therapeutic modality for intractable chest pain with an undetected pathology.
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spelling doaj.art-e0225e65de8b45518328e8e0d5536aaa2023-05-17T06:04:02ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772023-01-01181656910.17085/apm.221821175Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –Jihye Park0Su Jin Kim1Hyunho Kim2Haesun Jung3Hwa Yong Shin4 Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea Department of Radiology, Chung-Ang University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, KoreaBackground Pleurisy is an inflammation of the parietal pleura and is characterized by pleuritic pain. The most common cause of pleurisy is infection; other causes include rheumatoid arthritis, malignancy, rib fractures, or trauma. Possible causes of chest pain associated with golf include costochondritis, stress fractures of the ribs, intercostal muscle strain, or, rarely, Tietze’s syndrome and slipping rib syndrome. Case A 64-year-old female presented with intractable chest pain that began 4 months prior while playing golf. No specific cause was found after various examinations. There was persistent pain despite medical treatment. Ultrasonography (US) was performed over the painful areas, which revealed focal pleural effusions. A mixture of ropivacaine and triamcinolone was injected into the focal pleural effusions using US guidance, which dramatically relieved her pain. Conclusions This case demonstrates that US can be used as a diagnostic and therapeutic modality for intractable chest pain with an undetected pathology.http://www.anesth-pain-med.org/upload/pdf/apm-22182.pdfchest paingolfpleural effusionpleurisyultrasonography
spellingShingle Jihye Park
Su Jin Kim
Hyunho Kim
Haesun Jung
Hwa Yong Shin
Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –
Anesthesia and Pain Medicine
chest pain
golf
pleural effusion
pleurisy
ultrasonography
title Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –
title_full Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –
title_fullStr Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –
title_full_unstemmed Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –
title_short Ultrasound diagnosis and treatment of intractable anterior chest pain from golf - A case report –
title_sort ultrasound diagnosis and treatment of intractable anterior chest pain from golf a case report
topic chest pain
golf
pleural effusion
pleurisy
ultrasonography
url http://www.anesth-pain-med.org/upload/pdf/apm-22182.pdf
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AT hyunhokim ultrasounddiagnosisandtreatmentofintractableanteriorchestpainfromgolfacasereport
AT haesunjung ultrasounddiagnosisandtreatmentofintractableanteriorchestpainfromgolfacasereport
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