Myofascial pain syndrome as a diagnosis of chronic abdominal pain. Case report

ABSTRACT BACKGROUND AND OBJECTIVES: Chronic abdominal pain may originate in visceral, somatic or nervous structures. Diagnosis is challenging and, prolonged cases with atypical development, the possibility of a myofascial syndrome should be considered. The objective was to report case post-surgical chronic perpetuated by presence trigger points musculature wall. CASE REPORT: Male patient, 15 years old, underwent appendectomy without complications. Due persistence after surgery, gabapentin and analgesics were prescribed. After 45 days, patient still had disabling pain, preventing him from performing usual activities. surgical revision, which not conclusive, other attempts at control, such as anesthetic block transverse plane transdermal lidocaine, success. He then referred acupuncture clinic, presenting antalgic gait, voluntary guarding palpation hypochondrium right iliac fossa, rectus abdominis quadratus lumborum muscles, no signs symptoms neuropathic pain. needling points, electrostimulation motor muscles stretching guidance performed. During follow-up period, presented gradual improvement symptoms, suspension drugs use return CONCLUSION: Myofascial painful one most common causes disability, underdiagnosed considered among differential diagnosis.