Presentation
Epigastric mass.
Patient Data
Age: 32 years
Gender: Male
From the case:
Elongated hook-like xiphoid process
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Elongated ventrally deviated hook like sternal Xiphoid causing focal epigastric bulge mimicking epigastric mass.
From the case:
Elongated hook-like xiphoid process
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Elongated ventrally deviated hook like sternal Xiphoid causing focal epigastric bulge mimicking epigastric mass.
Case Discussion
There is considerable anatomic variation in the shape of the xiphoid of the sternum:
- xiphoid ending is classified as single, double, or triple.
- xiphoid size varies (e.g. elongated process)
- xiphoid morphology (e.g. ventral or dorsal deviation, hook-like, reverse S-shape).
Clinical presentation
Elongated and ventrally-deviated xiphoid process might mimic an epigastric mass and cause pain