An unusual cause for chronic right-sided abdominal pain: question

A 66-year-old woman presented with a 3 year history of pain in the right upper abdominal quadrant, with radiation to the right groin and upper thigh. She had been previously investigated extensively, with normal colonoscopies and abdominal imaging. Her pain had increased over a period of 4 months, had a “shooting” quality and was exacerbated by changes in position but was relieved by walking. She described minimal thoracic back pain. There was no reported lower limb weakness or numbness, no impairment of bladder or bowel function, and no perineal or perianal sensory disturbances. Past medical history included hypertension, dyslipidaemia, osteoarthritis precipitating a right total hip replacement, psoriasis, obesity, fatty liver and hepatic cysts. Clinical examination revealed no neurological deficits and there were no long tract signs. An MRI of the entire spine was performed followed by a CT scan of the thoracic spine (Fig. 1). A. Ossification of the posterior longitudinal ligament B. Metastasis C. Meningioma D. Herniated thoracic disc Answer on page 2259. An unusual cause for chronic right-sided abdominal pain: answerJournal of Clinical NeuroscienceVol. 21Issue 12PreviewD. Herniated thoracic disc. Full-Text PDF