{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:07:06Z","timestamp":1777727226751,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Abdominal pain in older individuals is frequently attributed to visceral disorders; however, vertebral compression fractures can present with isolated abdominal pain. Herein, we report a diagnostically challenging case that has not been previously published as a preprint. A woman in her early 80s presented with a 2-week history of persistent right upper quadrant dull pain, which had not been relieved by antispasmodic medications. Physical examination revealed mild tenderness in the right upper quadrant. Laboratory tests showed mild anemia (hemoglobin, 91\u2009g\/L) and severe osteoporosis. Results of contrast-enhanced computed tomography and endoscopy did not explain the cause of the pain. After failure of conservative treatment, magnetic resonance imaging revealed a new compression fracture of the T8 vertebra (considered as the source of pain corresponding to the right upper quadrant dermatome) and an incidentally discovered new fracture at L4. Percutaneous vertebroplasty was performed on the T8 and L4 vertebrae, and the pain was completely relieved within 24 h postoperatively. For older patients with unexplained abdominal pain, the possibility of asymptomatic osteoporotic compression fractures should be considered. Early spinal magnetic resonance imaging can help avoid diagnostic delay.<\/jats:p>","DOI":"10.1177\/03000605261431611","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:21:06Z","timestamp":1774520466000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal-origin abdominal pain secondary to silent osteoporotic compression fractures: A case report"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9994-7541","authenticated-orcid":false,"given":"Ning","family":"Li","sequence":"first","affiliation":[{"name":"Department of General Medicine, Hebei Provincial People\u2019s Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yayu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Hebei Provincial People\u2019s Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinwang","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shijiazhuang People\u2019s Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinxiao","family":"Song","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Hebei Provincial People\u2019s Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suyan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Hebei Provincial People\u2019s Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_3_8_2_2","first-page":"420","article-title":"Clinical research progress on spinal-origin abdominal pain","volume":"19","author":"Wang CF","year":"2021","unstructured":"Wang CF, Lu XH. 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Expert consensus on perioperative nursing standards for percutaneous vertebral augmentation","volume":"34","year":"2025","unstructured":"Expert Working Group of Interventional Perioperative, Chinese College of Interventionalists. Expert consensus on perioperative nursing standards for percutaneous vertebral augmentation. J Intervent Radiol 2025; 34: 922\u2013930.","journal-title":"J Intervent Radiol"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.08.016"},{"key":"e_1_3_8_10_2","first-page":"418","article-title":"Percutaneous vertebroplasty for osteoporotic vertebral compression fractures with spinal-origin abdominal pain as the main symptom","volume":"35","author":"Lin Y","year":"2022","unstructured":"Lin Y, Liu WG, Wang ZY. Percutaneous vertebroplasty for osteoporotic vertebral compression fractures with spinal-origin abdominal pain as the main symptom. Chin J Orthop Trauma 2022; 35: 418\u2013422.","journal-title":"Chin J Orthop Trauma"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002096"},{"key":"e_1_3_8_12_2","first-page":"373","article-title":"Comparative analysis of percutaneous vertebroplasty for acute and non-acute osteoporotic thoracolumbar fractures","volume":"45","author":"Jia L","year":"2024","unstructured":"Jia L, Gao RF, Chen N, et\u00a0al. Comparative analysis of percutaneous vertebroplasty for acute and non-acute osteoporotic thoracolumbar fractures. J Tongji Univ (Med Sci) 2024; 45: 373\u2013378.","journal-title":"J Tongji Univ (Med Sci)"},{"key":"e_1_3_8_13_2","first-page":"865","article-title":"Guidelines for the diagnosis and treatment of senile osteoporosis in China (2023)","volume":"16","author":"Working Group of \u201cGuidelines for the Diagnosis and Treatment of Senile Osteoporosis in China (2023)\u201d, Osteoporosis Branch of Chinese Geriatrics Society, Osteoporosis Disease Branch of China International Exchange and Promotion Association for Medical and Healthcare","year":"2023","unstructured":"Working Group of \u201cGuidelines for the Diagnosis and Treatment of Senile Osteoporosis in China (2023)\u201d, Osteoporosis Branch of Chinese Geriatrics Society, Osteoporosis Disease Branch of China International Exchange and Promotion Association for Medical and Healthcareet\u00a0al. Guidelines for the diagnosis and treatment of senile osteoporosis in China (2023). 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