A 30-year-old man was admitted to our hospital because of pain in his proximal extremities. The pain mimicked polymyalgia rheumatica (PMR) and it temporarily improved by a low dose of glucocorticoids, but his symptoms relapsed many times. After six years of glucocorticoid treatment, he developed abdominal pain and ascites, for which he was diagnosed with malignant peritoneal mesothelioma (MPM). His PMR-like symptoms improved with cytoreductive surgery and chemotherapy for MPM. Finally, we diagnosed this PMR-like syndrome to be paraneoplastic syndrome with MPM. Although cases of MPM complicated by PMR-like syndrome are rare, MPM should be taken into account in the differential diagnosis.
International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.
International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.
IJCRI publishes Review
86-year-old female, farmer came to our hospital complained of sudden onset of left thigh and left knee pan with left lower abdominal discomfort, when she was working in the field. She could not move her left leg because of severe pain. 2-month prior, she noticed short duration and repeated similar left thigh and knee pain without abdominal discomfort. She consulted her attending physician, and was treated with NSAIDs. In this time, her pain was continued longer, and complicated with abdominal discomfort. Physical examination showed tenderness in left lower quadrant of abdomen, but abdomen was soft with no rigidity and normal bowel sound. Her thigh and knee pain was severe and worsened with extension or abduction of left leg. Plain CT scan showed migrated small intestine into left obturator canal (Figure 1), showing obturator hernia (Figure 2). There was no evidence of peritonitis or ileus. Then, her symptoms and herniation
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