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Postprandial Referred Shoulder Pain: A Case Report.

Keaton Ott1, Joe Iwanaga2, Aaron S Dumont2

  • 1Department of Structural and Cellular Biology, Tulane University School of Medicine, New Orleans, USA.

Cureus
|July 8, 2022
PubMed
Summary

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This case study describes a rare instance of left shoulder pain after eating, likely caused by diaphragmatic irritation from the stomach. Clinicians should consider this unusual postprandial referred pain when evaluating shoulder discomfort.

Area of Science:

  • Medical Case Study
  • Pain Management
  • Gastroenterology

Background:

  • Referred pain mechanisms are not fully understood.
  • Diaphragmatic irritation is a known cause of referred pain, often linked to splenic injury (Kerr's sign).
  • Left-sided referred pain is typically associated with splenic pathology.

Observation:

  • An adult male experienced chronic, vague left shoulder pain exclusively after heavy meals.
  • The pain was deep, poorly localized to the acromion, and radiated along the trapezius muscle.
  • Symptoms began immediately post-meal and resolved within 30 minutes; physical and CT scans were unremarkable.

Findings:

  • This report details an unusual case of postprandial referred shoulder pain.
  • The most probable etiology is left-sided diaphragmatic irritation originating from the stomach.
Keywords:
anatomydiaphragmeatingpainshoulder

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  • No similar cases are documented in current medical literature.

    • Implications:

    • Postprandial referred shoulder pain is a rare but potential diagnosis.
    • Clinicians should consider this condition in patients with unexplained shoulder pain.
    • This highlights the importance of considering visceral causes for seemingly musculoskeletal pain.