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Updated: Jul 31, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Thoracic disk herniation presenting as abdominal and pelvic pain: a case report
Y Xiong1, E Lachmann, S Marini
1Department of Physical Medicine and Rehabilitation, New York Presbyterian Hospital-Cornell Medical Center, New York, NY, USA. yxiong@pol.net
Abstract:
We report the case of a young woman who presented with a 2-month history of severe abdominal and pelvic pain. The past history was significant for a fall from a bicycle 1 week before the onset of her pain. Physical examination was remarkable for periumbilical tenderness. Work-up including pelvic sonogram and diagnostic laparoscopy suggested endomyometritis. The pain was minimally relieved by nonsteroidal anti-inflammatory drugs and narcotic analgesics. Thoracic spine magnetic resonance imaging (MRI) revealed a large disk herniation at the T9-10 level compressing the spinal cord. The patient subsequently underwent T9-10 diskectomy and laminectomy with dramatic relief of her symptoms. Postoperative rehabilitation hastened her functional improvement. This is a rare case of symptomatic thoracic disk herniation after trauma presenting as abdominal and pelvic pain. Physicians should be aware of this unusual presentation of thoracic disk herniation to avoid invasive diagnostic procedures.
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