title: Thoracic disk herniation, a not infrequent cause of chronic abdominal pain.
abstract: This study assesses the proportion of patients presenting with nonvisceral chronic abdominal pain who have thoracic disk herniation as a possible cause. We designed a descriptive transversal study of patients attending our offices between February 2009 and October 2010, with a complaint of chronic abdominal pain of suspected abdominal wall source (positive Carnett sign). Nuclear magnetic resonance (NMR) of the spinal column was performed on all patients. When the NMR showed thoracic disk herniation the patients were treated according to their etiology. We also evaluated the symptoms in patients with thoracic disk herniation and their response to the applied treatment. Twenty-seven patients with chronic abdominal pain were evaluated. The NMR results in 18 of these 27 patients (66.66%) showed evidence of disk herniation. We report on the results of these 18 patients, emphasizing that the symptoms are florid and varied. Many patients had been previously diagnosed with irritable bowel syndrome. Thoracic disk herniation may account for chronic abdominal pain in many patients who remain undiagnosed or are diagnosed with irritable bowel syndrome. Thus, this possibility needs to be taken into account to achieve a correct diagnosis and a suitable mode of treatment.
authors.affiliation: Service of Surgery, Antequera Hospital, Málaga. javinewyork@hotmail.com
authors.forename: F J Pérez
authors.initials: FJ
authors.lastname: Lara
authors.forename: A Ferrer
authors.initials: AF
authors.lastname: Berges
authors.forename: J Quintero
authors.initials: JQ
authors.lastname: Quesada
authors.forename: J A Moreno
authors.initials: JA
authors.lastname: Ramiro
authors.forename: R Bustamante
authors.initials: RB
authors.lastname: Toledo
authors.forename: H Oliva
authors.initials: HO
authors.lastname: Muñoz
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D059350:Chronic Pain / Q000209:etiology*; D003430:Cross-Sectional Studies; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D043183:Irritable Bowel Syndrome / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D013904:Thoracic Vertebrae