manuelletherapie 2016; 20(05): 233-236
DOI: 10.1055/s-0042-119243
Originalia
Fallbericht
Georg Thieme Verlag KG Stuttgart · New York

Gallensteine als Ursache für muskulären Thorax-Schmerz

FallberichtGallstones as a Source of Muscular Thoracic PainCase Report
Wolfgang Lackenbauer
1   Manchester Metropolitan University
2   IMC, FH Krems, A-Krems
,
J. Janssen
3   University of Central Lancashire, GB-Preston
› Author Affiliations
Further Information

Publication History

19 February 2016

01 April 2016

Publication Date:
23 December 2016 (online)

Zusammenfassung

Eine 64-jährige Patientin wurde vom Hausarzt mit der Diagnose „muskulärer Thorax-Schmerz“ zur Physiotherapie überwiesen. Die Beschwerden hatten plötzlich und ohne jeglichen mechanischen Auslöser 3 Wochen zuvor begonnen. Sie traten in Wellen auf und konnten weder durch aktive Bewegungen noch durch Haltungsänderungen gelindert oder verstärkt werden. Bei der körperlichen Untersuchung ließen sich keine Schmerzen am Bewegungsapparat reproduzieren. Aufgrund der für mechanische Beschwerden untypischen Klinik und fehlender Befunde wurde die Patientin mit dem Verdacht auf eine viszerale Genese und der Bitte um weitere Abklärung zum Hausarzt zurückgeschickt. Eine Ultraschalluntersuchung beim Chirurgen ergab, dass die Patientin unter Gallensteinen litt.

Abstract

A 64-year old female patient was referred to physiotherapy with the diagnosis “muscular thoracic pain”. The pain had started suddenly and without any mechanical influence 3 weeks ago. The symptoms were described as surging and could not be improved or intensified by postural changes. It was not possible to reproduce the pain during examination of the musculoskeletal system. A visceral cause of the symptoms was suspected due to the untypical clinical pattern and missing clinical findings. The patient was rereferred to the general practitioner for further assessment. An ultrasound scan carried out by a surgeon revealed that the patient suffered from gallstones.

 
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