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Xiphoid syndrome: an uncommon occupational disorder
O Yapici Ugurlar1, M Ugurlar, A Ozel
1Department of Radiology, Hakkari Yuksekova Public Hospital, Hakkari 30300, Turkey.
Occupational Medicine (Oxford, England)
|December 17, 2013
Summary
A carpenter experienced persistent epigastric pain due to xiphoid syndrome, a condition caused by repetitive chest trauma. Treatment involved anti-inflammatory medication and avoiding chest pressure, leading to symptom relief.
Area of Science:
- Medicine
- Occupational Health
Background:
- Gastro-oesophageal reflux is a common diagnosis for epigastric pain.
- Chronic microtraumas can lead to unusual musculoskeletal conditions.
Observation:
- A 45-year-old carpenter presented with a 3-year history of epigastric swelling and pain.
- Physical examination revealed a tender, immobile, hard mass on the xiphoid process.
Findings:
- The patient was diagnosed with xiphoid syndrome, a condition linked to occupational repetitive chest trauma.
- Investigations for gastro-oesophageal reflux were ineffective.
Implications:
- Xiphoid syndrome should be considered in individuals with physically demanding occupations and persistent epigastric symptoms.
- Occupational history is crucial for diagnosing rare conditions.
- Clinical and radiological investigations are vital for accurate diagnosis.
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