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Left Lower Abdominal Pain as an Initial Symptom of Multiple Myeloma
Fumiko Yamane1, Ryuichi Ohta1, Chiaki Sano2
1Community Care, Unnan City Hospital, Unnan, JPN.
Abstract:
Multiple myeloma can present with various general symptoms such as fever, fatigue, and night sweats. Bone pain can occur in the pelvic and vertebral bones. However, there are a few reports of abdominal pain as an initial symptom of multiple myeloma. Here, we report the case of a 73-year-old male patient with a chief complaint of acute left lower abdominal pain. The abdominal physical findings were unremarkable. The pain was considered as referred pain, but there was no pain in response to a knock on the back. Further investigation using enhanced abdominal CT revealed a lesion in the left vertebral arch of the 10th thoracic vertebra. Bone marrow biopsy led to a diagnosis of IgA-type multiple myeloma. This case shows that abdominal pain could indicate vertebral lesions, and even without back pain, the condition of the vertebral arches should be investigated.
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