Thoracolumbar Junction Syndrome Accompanying Renal Artery Stenosis: A Case Repor

Flank pain is a common reason for visits to the emergency room. The most common reason warranting hospital visits are urology-related problems. However, there are many other causes, such as musculoskeletal lesions, that difficult to achieve a correct diagnosis. Here, we describe a rare case of flank...

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Bibliographic Details
Published in:Annals of rehabilitation medicine 2020-02, Vol.44 (1), p.85-89
Main Authors: Noh, Kyudong, Jung, Jong Burm, Seong, Jeong Won, Kim, Doh-Eui, Kwon, Dongrak, Kim, Yuntae
Format: Article
Language:English
Subjects:
Case Report
flank pain
renal artery stenosis
thoracolumbar junction syndrome
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Summary:Flank pain is a common reason for visits to the emergency room. The most common reason warranting hospital visits are urology-related problems. However, there are many other causes, such as musculoskeletal lesions, that difficult to achieve a correct diagnosis. Here, we describe a rare case of flank pain caused by thoracolumbar junction syndrome, accompanying renal artery stenosis. A 54-year-old male with hypertension presented with severe left flank pain for 1 week. Initially, he was diagnosed with left renal artery stenosis by computed tomography and decreased renal function on renal scan (Tc-99m DTPA). Although a stent was inserted into the left renal artery, flank pain persisted with only minor improvement. Through detailed physical examination, he was finally diagnosed with thoracolumbar junction syndrome. After three injections in the left deep paravertebral muscles at the T10–T12 levels, flank pain completely ceased. Clinicians must consider thoracolumbar junction syndrome, when treating patients with flank pain.
ISSN:2234-0645
2234-0653
DOI:10.5535/arm.2020.44.1.85