20대 여자
키가 크고 마른 체형
2달전 하복부 압통 있어 산부인과 진료 권함. 검사시 특이소견 없음. 검진 혈액검사 이상없음.
2달뒤 재방문시 통증은 몇보 움직일 때 쑥쑥거리는 양상으로 rectus muscle의 측면 경계, umblicus level(이전과 달리)에서 발생
{"items":["f057ce_396e29cac1e64f17bb41ab9b7eaf4d43~mv2.png"],"styles":{"groupSize":1,"showArrows":false,"cubeImages":false,"cubeType":"fill","cubeRatio":1,"isVertical":false,"gallerySize":"300","collageDensity":0.8,"groupTypes":"1","oneRow":false,"imageMargin":10,"galleryMargin":0,"floatingImages":0,"chooseBestGroup":true,"smartCrop":false,"hasThumbnails":false,"enableScroll":true,"isGrid":false,"isSlider":false,"isColumns":false,"isSlideshow":false,"cropOnlyFill":false,"fixedColumns":0,"enableInfiniteScroll":true,"isRTL":false,"minItemSize":120,"rotatingGroupTypes":"","rotatingCubeRatio":"","gallerySliderImageRatio":1.7777777777777777,"numberOfImagesPerRow":0,"numberOfImagesPerCol":1,"groupsPerStrip":0,"borderRadius":0,"boxShadow":0,"gridStyle":0,"mobilePanorama":false,"placeGroupsLtr":false,"viewMode":"preview","thumbnailSpacings":0,"galleryThumbnailsAlignment":"none","isMasonry":true,"isAutoSlideshow":false,"slideshowLoop":false,"autoSlideshowInterval":4,"useCustomButton":false,"bottomInfoHeight":0,"titlePlacement":"SHOW_ON_HOVER","galleryHorizontalAlign":"center","galleryTextAlign":"center","galleryVerticalAlign":"center","scrollSnap":false,"itemClick":"link","fullscreen":false,"allowSocial":false,"allowDownload":false,"allowTitle":true,"allowDescription":false,"loveButton":false,"loveCounter":false,"videoPlay":"onClick","scrollAnimation":"NO_EFFECT","scrollDirection":0,"overlayAnimation":"NO_EFFECT","arrowsPosition":0,"arrowsSize":23,"watermarkOpacity":40,"watermarkSize":40,"useWatermark":true,"watermarkDock":{"top":"auto","left":"auto","right":0,"bottom":0,"transform":"translate3d(0,0,0)"},"loadMoreAmount":"all","defaultShowInfoExpand":1,"allowTitleExpand":true,"allowDescriptionExpand":true,"allowLinkExpand":true,"expandInfoPosition":0,"allowFullscreenExpand":true,"fullscreenLoop":false,"galleryAlignExpand":"left","addToCartBorderWidth":1,"addToCartButtonText":"","slideshowInfoSize":200,"playButtonForAutoSlideShow":false,"allowSlideshowCounter":false,"hoveringBehaviour":"APPEARS","thumbnailSize":120,"magicLayoutSeed":1,"imageHoverAnimation":"NO_EFFECT","calculateTextBoxHeightMode":"AUTOMATIC","calculateTextBoxWidthMode":"PERCENT","textBoxHeight":0,"textBoxWidth":200,"textBoxWidthPercent":50,"textImageSpace":10,"textBoxBorderRadius":0,"textBoxBorderWidth":0,"textsVerticalPadding":0,"textsHorizontalPadding":0,"titleDescriptionSpace":6,"customButtonText":"","customButtonBorderWidth":1,"customButtonBorderRadius":0,"loadMoreButtonText":"","loadMoreButtonBorderWidth":1,"loadMoreButtonBorderRadius":0,"imageInfoType":"NO_BACKGROUND","itemBorderWidth":0,"itemBorderRadius":0,"itemEnableShadow":false,"itemShadowBlur":20,"itemShadowDirection":135,"itemShadowSize":10,"imageLoadingMode":"BLUR","expandAnimation":"NO_EFFECT","imageQuality":90,"usmToggle":false,"usm_a":0,"usm_r":0,"usm_t":0,"videoSound":false,"videoSpeed":"1","videoLoop":true,"galleryLayout":1,"gallerySizeType":"px","gallerySizePx":"300","allowHover":true,"mobileSwipeAnimation":"NO_EFFECT","gotStyleParams":true,"showVideoPlayButton":true,"selectedLayout":"1|none|1|fill|false|0|true","layoutsVersion":2,"selectedLayoutV2":1,"isSlideshowFont":false,"externalInfoHeight":0,"externalInfoWidth":0},"container":{"galleryWidth":2580,"galleryHeight":1440,"scrollBase":0,"height":null,"width":null}}
복부 피신경 포착 증후군 추정됨.
내시경 시행 예정이며 상기 진단 의심되어 CT등 시행보다 통증의학과 진료 계획중임
대장 내시경은 시행함
참조>
http://synapse.koreamed.org/Synapse/Data/PDFData/1047KJP/kjp-19-292.pdf https://www.med.unc.edu/ibs/files/educational-gi-handouts/Chronic%20Abdominal%20Pain.pdf
이후 전화통화상 통증의학과 외래 방문하지 않았으며 증상 호전되었다고 함
동대문구 답십리 우리안애, 우리안愛 내과, 건강검진 클리닉 내과 전문의 전병연