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CASE REPORT
Year : 2019  |  Volume : 52  |  Issue : 6  |  Page : 229-231

Slipping rib syndrome: A neglected cause of hypochondrial pain


Department of Cardiothoracic Surgery, Faculty of Medicine, Minia University, El-Minya, Egypt

Correspondence Address:
Dr. Yasser Ali Kamal
Department of Cardiothoracic Surgery, Faculty of Medicine, Minia University, El-Minya, 61519
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/fjs.fjs_49_19

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Slipping rib syndrome (SRS) is an under-recognized cause of lower chest and upper abdominal pain. We described this rare condition in a 27-year-old female with chronic right hypochondrial pain. The condition was initially diagnosed as irritable bowel. Extensive imaging studies and laboratory investigations failed to determine the underlying cause of pain for 2 years. The diagnosis was made clinically by hooking maneuver and on ultrasound. After the failure of nonsteroidal anti-inflammatory drugs therapy and intercostal nerve block to improve symptoms, surgical resection of the anterior end of the free-floating right 10th rib was performed. Awareness of SRS can help rapid diagnosis and treatment of a benign cause of abdominal upper quadrant pain.


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