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Korean J Fam Med > Volume 31(2); 2010 > Article
Korean Journal of Family Medicine 2010;31(2):134-139.
DOI: https://doi.org/10.4082/kjfm.2010.31.2.134    Published online February 20, 2010.
A Case of Myofascial Pain Syndrome of the Iliopsoas Muscle Undiagnosed for 3 Years with Chronic Abdominal Pain.
Woo Sung Lee, Ki Heum Park, Ho Jun Lee, Nak Jin Sung
1Department of Family Medicine, Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea. snj@dongguk.ac.kr
2Department of Physical Medicine and Rehabilitation, Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
진단되지 않은 채 만성 복통으로 3년 간 고통받은 장요근의 근막동통증후군 1예
이우성, 박기흠, 이호준, 성낙진
Abdominal pain is one of the most common symptoms we encounter in primary care clinics, and the patients being hospitalized for abdominal pain account for 5-6% of all the inpatients. Careful history taking and physical exams are always necessary for the diagnosis of patients having abdominal pain, because their problems may be transient and insignificant but also can be severe. For the elderly patients, common causes of abdominal pain are unspecific abdominal pain, functional disease, constipation, kidney stone, urinary tract infection, inflammatory bowel disease, biliary tract disease, acute appendicitis, diverticulitis, abdominal aortic aneurysm, peptic ulcer, intestinal obstruction, mesenteric ischemia, malignant tumor, gastroenteritis, etc. and myofacscial pain can also be the cause. We treated an elderly female patient who had suffered severe abdominal pain due to myofascial pain syndrome of the iliopsoas muscle undiagnosed for over 3 years. Therefore we report this case with review of several literatures.
Key Words: Chronic Abdominal Pain; Iliopsoas Muscle; Myofascial Pain Syndrome
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