| Chronic Left Upper Quadrant Abdominal Pain Diagnosed as Diabetic Thoracic Polyradiculopathy: A case report. |
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Kim, Hyoung Seop , Kang, Seong Woong , Lee, Sang Chul , Lim, Jong Youb |
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Department of Rehabilitation Medicine and Rehabilitation, Institute of Muscular Disease, Yonsei University College of Medicine, Korea. kswoong@yumc.yonsei.ac.kr |
| 당뇨병성 흉추부 다발신경근병증으로 진단된 만성 좌상부 복통 1례 －증례 보고－ |
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김형섭, 강성웅, 이상철, 임종엽 |
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연세대학교 의과대학 재활의학교실 및 근육병재활연구소 |
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| Abstract |
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Diabetic thoracic polyradiculopathy is an unusual cause of severe, chronic abdominal pain in patient with diabetes mellitus of variable duration. The diagnosis can be made by careful history taking, physical examination and paraspinal and abdominal muscle electromyography. Since there are so many diseases that cause similar abdominal pain, it is hard to diagnose diabetic thoracic polyradiculopathy. A 41-year-old female patient with diabetes mellitus had been taken to the department of internal medicine due to unexplained chronic left upper quadrant abdominal pain. Upper gastrointestinal endoscopy, abdominal computed tomography, urologic and gynecologic examinations had been done but failed to find the cause of abdominal pain. We diagnosed chronic abdominal pain of the patient as diabetic thoracic polyradiculopathy confirmed by electromyography and report this case with a brief review of the related literatures. (J Korean Acad Rehab Med 2007; 31: 486-489) |
| Key Words:
Diabetic thoracic polyradiculopathy, Electromyography, Abdominal pain |
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