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Acute abdominal pain in the presence of hemi-corporeal neurosensory deficits
Affiliation:1. Division of Hematology, University of Washington School of Medicine, Seattle, WA, United States;2. Divisions of Public Health Sciences and Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, United States;3. Division of Medical Oncology, University of Washington School of Medicine, Seattle, WA, United States;4. Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Abstract:Acute abdominal conditions may be extremely difficult to diagnose in patients with spinal cord neurologic deficits. Sydngomyelia, and the surgical treatment of it, can cause an unusual distribution of nearosensory defects involving primarily pain and temperature sensation, and this can mask occult intraabdominal pathology. We report a case of acute abdominal pain In a patient previously treated with a syringo-pleural shunt for correction of a cervical syringomyeila and the difficulties in diagnosis that this presents.
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