Thoracic spine spasms secondary to hemorrhagic intestinal ulcer

C. W. Slipman, W. S. Whyte, G. R. Lichtenstein, D. Lenrow, D. Braverman, M. Ellen, E. J. Vresilovic

Research output: Contribution to journalArticle

Abstract

A case of thoracic spine spasms secondary to a bleeding duodenal ulcer is presented. A 41-year-old male with 14-week history of thoracic spine spasm was treated with bed rest, spinal manipulation, physical therapy, medication, and a thoracolumbar brace. Subsequently, a provocative thoracic discogram performed at T9-T10 created periscapular pain and also reproduced the presenting thoracic spasms. Intradiscal electrothermal annuloplasty (IDET) was performed at the T9-T10 level, but without sustained relief. The patient presented to a spine center for evaluation. The diagnosis of thoracic discogenic disease was suspected. A second provocative thoracic discogram was performed and failed to reproduce his thoracic spasms. Three weeks after being referred to a chronic pain management physician, the patient presented to a local emergency room with hematemesis. An endoscopic evaluation revealed a bleeding duodenal ulcer. Following medical treatment of the duodenal ulcer with a proton pump inhibitor the patient had complete resolution of his thoracic spasms. This represents the first reported case of thoracic spine spasms as an initial presenting symptom of a bleeding peptic ulcer.

Original languageEnglish (US)
Pages (from-to)97-100
Number of pages4
JournalPain physician
Volume4
Issue number1
StatePublished - Apr 17 2001

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Keywords

  • Hemorrhagic ulcers
  • Intestinal ulcers
  • Peptic ulcer disease
  • Thoracic spine muscle spasms
  • Thoracic spine pain

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Slipman, C. W., Whyte, W. S., Lichtenstein, G. R., Lenrow, D., Braverman, D., Ellen, M., & Vresilovic, E. J. (2001). Thoracic spine spasms secondary to hemorrhagic intestinal ulcer. Pain physician, 4(1), 97-100.