Misdiagnosed Floating Rib Syndrome Caused by Natural Delivery (a Case Report and Literature Review)
JIN Da-chuan
YUAN Xiao-yan
YANG Ya-qi
Abstract：Objective To improve the understanding of floating rib syndrome by analyzing its clinical features and the causes of misdiagnosis, and summing up experience and lessons from the past. Methods The clinical data of one case of misdiagnosed and mistreated floating rib syndrome caused by natural delivery admitted to our hospital was retrospectively ana-lyzed, and literature review was studied. The pathogenesis, clinical features, diagnosis and treatment of floating rib syndrome were summarized. Results This patient was a 42-year-old American woman who was admitted to our hospital for intermittent left upper quadrant abdominal pain for 4 years. She underwent gastroendoscopic, abdominal ultrasound examination, CT scan, MRI and ECG before admission. All work-up did not show any positive findings except for superficial gastritis reported by en-doscopy. She ever took Omeprazole and Joey pills, but her symptoms were not alleviated. After her admission to our hospital, the patient was diagnosed as having floating rib syndrome because her abdominal pain could be reproduced on hooking maneu-ver. Her symptoms were alleviated after one week of TDP and oral Ibuprofen therapy. Conclusion Physicians should collect comprehensive medical history and evaluate the possibility of floating rib syndrome with hooking maneuver for any patients with abdominal pains in order to make correct diagnosis and apply appropriate treatment in time.
Keywords：Floating rib syndromeAbdominal painGastritisMisdiagnosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 13-16 )