Bifid curved xiphoid process

Case contributed by Dr Domenico Nicoletti

Presentation

Xiphodynia, swelling and pain in epigastric region for the last 3 years.

Patient Data

Age: 55 years
Gender: Female
CT

Ventrally deviated bifid xiphoid process hook-like ending with one branch totally ossified and the other branch partial ossified. This is considered an anatomic variation.  Variations include bifurcated or trifurcated, deflected, and curved processes. No other pathologic condition was noted on the CT images.  

Case Discussion

Xiphodynia is a rare musculoskeletal disorder characterized by pain at the lower anterior chest or epigastric region. Xiphisternal angles of less than 160° or excessively long xiphoid processes have been linked to xiphodynia. The possible causes are inflammation due to mechanical injury, repeated microtrauma to the xiphoid process, displacement of the xiphoid process provoked by weight loss or previous operation affecting this region (sternotomy or median laparotomy).

 

Radiographer: TSRM Fabio Imola

PlayAdd to Share

Case information

rID: 91461
Published: 22nd Jul 2021
Last edited: 23rd Jul 2021
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.