| 篇名 |
Intercostal Nerve Neurilemoma Presenting with Epigastralgia: Report of A Case |
| 作者 |
Honda Hsu, Jun-Tat Lee, Li-Fu Cheng, Tsong-Bor Sun, Chien-Hsin Wang, Sou-Hsin Chien |
| 卷期/出版年月 |
38卷4期 (2005/8) |
| 頁次 |
194-197 |
| 摘要 |
Pain or discomfort in the epigastric region is often of gastrointestinal origin. Other
common causes of epigastric pain include diabetes mellitus, metabolic disturbances,
ischemic heart disease, intestinal angina and malignancies. Peripheral nerve
neurilemoma is an unusual cause of epigastric discomfort. We present a case of a 42-
year-old man complaining of persistent epigastralgia for a number of years. The discomfort
remained unresolved after numerous visits to the doctors. He presented to
the outpatient department with a recent finding of a mass along the left chest wall.
CT revealed a soft tissue tumor on the lateral aspect of the left elevnth rib. Surgical
resection was done and the pathology confirmed the diagnosis of neurilemoma. After
surgical resection there was complete resolution of the epigastralgia. This case
reminds us that apart from the usual gastrointestinal causes of epigastric discomfort,
we should be alert for other unusal causes of epigastralgia, especially if clinical and
endoscopic findings are persistently inconclusive. |
| 關鍵詞 |
intercostal nerve neurilemoma, schwannoma, epigastralgia |
| 分類 |
Case Report |
