These arteries may originate from subclavian artery (SCA), thyrocervical trunk,
costovertebral trunk, thyrotoracal trunk or internal mammalian artery (IMA) individually or by forming trunks and show various types of origin.
Costovertebral angle tenderness was revealed on physical examination.
All patients underwent a complete physical examination especially for
costovertebral tenderness.
He then visited our outpatient department, at which point the ecchymosis of the right flank region, of an estimated 15 cm x 12 cm in size, was noted to have spread from the right subdiaphragm to the ipsilateral
costovertebral angle.
Fever (temperature > 100.40F [38.0[degrees]CI], Physical tachycardia, hypotension, examination
costovertebral angle tenderness, possible abdominal or suprapubic tenderness.
Physical examination revealed left
costovertebral angle and mild left lower quadrant tenderness without guarding or rebound.
His pain level was 8/10 at that visit, and physical exam was negative, with no
costovertebral angle tenderness.
Fused PET/CT (C, D) and standard attenuation-corrected (AC) PET images (E,F) demonstrated increased FDG uptake in paraspinal muscles and central canal around the T9-T10 hardware as well as increased uptake in the left 10th
costovertebral joint.
Physical examination revealed sensitivity in the
costovertebral angle and ureteral points.
Midline anterior fusion of several vertebral bodies, bilateral fusion of some
costovertebral joints and both sacroiliac joints, and ossification of costal cartilage suggest the individual possibly suffered from ankylosing spondylitis.
Furthermore, the thoracic spine has a more stable and stiff structure compared to the cervical spine due to the surrounding rib cage and
costovertebral articulations.
Rib hypermobility caused by weakness of costochondral, sternocostal, or
costovertebral ligaments is considered the primary underlying mechanism of slipping rib syndrome [2].