Bifid curved xiphoid process
Citation, DOI and case data
Xiphodynia, swelling and pain in epigastric region for the last 3 years.
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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.
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
- Bifid Xiphoid Process: Case Report and Review Monitoring Editor: Alexander Muacevic and John R Adler Seif Eid,1 Joe Iwanaga,2 Rod J Oskouian,3 Marios Loukas,1 and R. Shane Tubbs4