The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Referred Pain in Right Arm from Abdominal Wall Pseudoaneurysm

  • Received : 2012.12.27
  • Accepted : 2012.12.30
  • Published : 2013.04.01
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Abstract

Pseudoaneurysm of the abdominal wall is a possible but very rare clinical entity. It is a known complication of surgery, trauma, or arterial puncture, but it is rarely spontaneous. Even though it can usually present with a wide range of local symptoms, it can cause referred pain via spinal cord, which is cross-excited with afferent sympathetic nervous system. We report a case of right arm pain which was referred from a small abdominal pseudoaneurysm like a referred pain from gall bladder. This rare entity should be considered in the differential for pain management in case that the pain does not resolve with medication or interventional pain management.

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References

  1. Vecchiet L, Vecchiet J, Giamberardino MA. Referred muscle pain: clinical and pathophysiologic aspects. Curr Rev Pain 1999; 3: 489-498. https://doi.org/10.1007/s11916-999-0077-y
  2. Procacci P, Maresca M. Referred pain from somatic and visceral structures. Curr Rev Pain 1999; 3: 96-99. https://doi.org/10.1007/s11916-999-0032-y
  3. Foreman RD. Mechanisms of cardiac pain. Annu Rev Physiol 1999; 61: 143-167. https://doi.org/10.1146/annurev.physiol.61.1.143
  4. Kent KC, McArdle CR, Kennedy B, Baim DS, Anninos E, Skillman JJ. A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 1993; 17: 125-131. https://doi.org/10.1016/0741-5214(93)90016-F
  5. Sadat U, Jah A, Ward N, Gaunt M. Superior epigastric artery pseudoaneurysm--a rare complication of chest drain insertion in coronary artery bypass grafting. J Cardiothorac Surg 2007; 2: 21. https://doi.org/10.1186/1749-8090-2-21
  6. Ferrer JV, Soriano P, Zazpe C, Vicente F, Herrera J, Lera JM. Pseudoaneurysm of the inferior epigastric artery. Pathogenesis, diagnosis, and treatment. Arch Surg 1996; 131: 102-103. https://doi.org/10.1001/archsurg.1996.01430130104024
  7. Lenartova M, Tak T. Iatrogenic pseudoaneurysm of femoral artery: case report and literature review. Clin Med Res 2003; 1: 243-247. https://doi.org/10.3121/cmr.1.3.243
  8. Coughlin BF, Paushter DM. Peripheral pseudoaneurysms: evaluation with duplex US. Radiology 1988; 168: 339-342. https://doi.org/10.1148/radiology.168.2.3293107
  9. Schwartz RA, Kerns DB, Mitchell DG. Color Doppler ultrasound imaging in iatrogenic arterial injuries. Am J Surg 1991; 162: 4-8. https://doi.org/10.1016/0002-9610(91)90192-G
  10. Georgiadis GS, Souftas VD, Papas TT, Lazarides MK, Prassopoulos P. Inferior epigastric artery false aneurysms: review of the literature and case report. Eur J Vasc Endovasc Surg 2007; 33: 182-186. https://doi.org/10.1016/j.ejvs.2006.08.006
  11. Guyton AC, Hall JE. Guyton and Hall textbook of medical physiology. 12th ed. Philadelphia, PA, Saunders Elsevier. 2011, pp 730-731.
  12. Boulton AJ, Ward JD. Diabetic neuropathies and pain. Clin Endocrinol Metab 1986; 15: 917-931. https://doi.org/10.1016/S0300-595X(86)80080-9
  13. Longstreth GF. Diabetic thoracic polyradiculopathy. Best Pract Res Clin Gastroenterol 2005; 19: 275-281.