PULSATING ABDOMEN: DIAGNOSTIC DILEMMA- A CASE REPORT.
- Senior Resident, Department of Medicine, Dr. Rajendra Prasad Govt Medical College (RPGMC), Kangra at Tanda, Himachal Pradesh, India.
- Assistant Professor, Department of Cardiology, Dr. Rajendra Prasad Govt Medical College (RPGMC), Kangra at Tanda, Himachal Pradesh, India.
- Junior Resident, Department of Medicine, Dr. Rajendra Prasad Govt Medical College (RPGMC), Kangra at Tanda, Himachal Pradesh, India.
- Senior Resident, Department of ENT, Dr Rajendra Prasad Govt Medical College, Kangra at Tanda (RPGMC), Himachal Pradesh, India.
- Independent Researcher, Tanda, Kangra, Himachal Pradesh, India.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
It is rare to find a patient with pulsating abdomen in the emergency room. We report a patient with pulsating abdomen having a rare diagnosis Twiddler's syndrome. Twiddler's syndrome is a permanent malfunction of the cardiac pacemaker due to the patient?s manipulation of the pulse generator. Due to this, the leads are dislodgedand can stimulate ipsilateral phrenic nerve leading to rhythmic diaphragmatic pacing and sensation of pulsating abdomen. This is a rare case report of an elderly male with Twiddler's syndrome resulting in pacemaker malfunction secondary to lead retraction. He subsequently underwent lead repositioning and appropriate counseling of not to manipulate the pacemaker pulse generator within its skin pocket.
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[Gargi G, Kumar M, Singh G, Saini A and Goyal SK. (2018); PULSATING ABDOMEN: DIAGNOSTIC DILEMMA- A CASE REPORT. Int. J. of Adv. Res. 6 (Mar). 1371-1374] (ISSN 2320-5407). www.journalijar.com
Dr Rajendra Prasad Govt Medical College, Kangra at Tanda
