title: Atypical presentation of intramedullary spinal cord lesion.
abstract: We report a patient who presented with atypical clinical manifestations including worsening abdominal pain from an intramedullary spinal cord lesion. It is important to consider non-abdominal causes of abdominal pain for patients with an atypical presentation. The described case demonstrates the challenges facing the physician with the early diagnosis of acute abdominal pain. Spinal cord lesions, although uncommon, remain a potentially disabling and life-threatening cause of abdominal pain.
authors.affiliation: Department of Surgery, University of Sydney, Royal Shore Hospital, St Leonards, Sydney, New South Wales, Australia.
authors.forename: Michele
authors.initials: M
authors.lastname: H Kwik
authors.forename: Michael S
authors.initials: MS
authors.lastname: Barakate
authors.forename: Shen
authors.initials: S
authors.lastname: Wong
authors.forename: Lisa
authors.initials: L
authors.lastname: Tan
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000208:Acute Disease; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007249:Inflammation; D007796:Laminectomy; D017116:Low Back Pain / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009336:Necrosis; D013118:Spinal Cord Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed