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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Format: | Article |
Language: | English |
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Korean Society of Anesthesiologists
2023-01-01
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Series: | Anesthesia and Pain Medicine |
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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. |
first_indexed | 2024-03-13T10:53:47Z |
format | Article |
id | doaj.art-e0225e65de8b45518328e8e0d5536aaa |
institution | Directory Open Access Journal |
issn | 1975-5171 2383-7977 |
language | English |
last_indexed | 2024-03-13T10:53:47Z |
publishDate | 2023-01-01 |
publisher | Korean Society of Anesthesiologists |
record_format | Article |
series | Anesthesia and Pain Medicine |
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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