{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:05Z","timestamp":1787071205111,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Twelfth (12th) rib syndrome, a rare condition that causes hypochondrial and flank pain, involves the irritation or entrapment of the 12th intercostal nerve due to structural abnormalities or trauma to the 12th rib. This study presents a case report of a 54-year-old gentleman with persistent left hypochondrium pain and a 78-year-old lady with unremitting right hypochondrium pain despite multiple outpatient department visits in different sub-specialties over a prolonged period of time. The patients were evaluated and diagnosed with 12th rib syndrome. This article aims to enhance the awareness of 12th rib syndrome among clinicians, underscore the importance of considering it in differential diagnoses for hypochondrium pain, and provide insights into effective management approaches.<\/jats:p>","DOI":"10.4103\/jwas.jwas_121_24","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T11:10:05Z","timestamp":1738667405000},"page":"76-78","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Unveiling 12th Rib Syndrome: A Case Report of 2 Cases and Diagnostic Insights"],"prefix":"10.4103","volume":"16","author":[{"given":"Shreyasi","family":"Jha","sequence":"first","affiliation":[{"name":"Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"CIT0001-20260206","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/S0885-3924(96)00271-0","article-title":"The twelfth rib syndrome","volume":"13","author":"Cranfield","year":"1997","journal-title":"J Pain Symptom Manage"},{"key":"CIT0002-20260206","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.ijscr.2015.09.032","article-title":"Loin to groin pain: The importance of a differential diagnosis","volume":"16","author":"Smith","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"CIT0003-20260206","doi-asserted-by":"crossref","first-page":"300060520952651","DOI":"10.1177\/0300060520952651","article-title":"Twelfth rib syndrome: A case report","volume":"48","author":"Jung","year":"2020","journal-title":"J Int Med Res"},{"key":"CIT0004-20260206","doi-asserted-by":"crossref","first-page":"263","DOI":"10.5455\/2320-1770.ijrcog20140357","article-title":"Twelfth rib syndrome-an often missed differential diagnosis of hypogastric and lumbar pain: Case series","volume":"3","author":"Arya","year":"2014","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"CIT0005-20260206","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1111\/j.1464-410X.2008.08071.x","article-title":"Twelfth rib syndrome: A forgotten cause of flank pain","volume":"103","author":"Keoghane","year":"2009","journal-title":"BJU Int"},{"key":"CIT0006-20260206","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.ijscr.2016.04.009","article-title":"The slipping rib syndrome: A case report","volume":"23","author":"Van Delft","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"CIT0007-20260206","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/JSM.0000000000000506","article-title":"Diagnosis and Treatment of Slipping Rib Syndrome","volume":"29","author":"Foley","year":"2019","journal-title":"Clin J Sport Med"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_121_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:43:03Z","timestamp":1787067783000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_121_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,4]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_121_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,4]]},"assertion":[{"value":"2024-09-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}