Traditional Kehr’s sign: Left shoulder pain related to splenic abscess

Kehr’s sign was originally described by the German surgeon Hans Kehr (1862-1916). It is a classical example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the clavicle. We present a case of a 21-year-old woman admitted to the emergency department with the chief complaint of left shoulder pain related to splenic abscess.

Geleneksel Kehr bulgusu: Splenik apseye baðlý sol omuz aðrýsý

Kehr bulgusu ilk olarak Alman cerrah Hans Kehr (1862–1916) tarafýndan tanýmlanmýþtýr. Kehr bulgusu yansýyan aðrýnýn klasik bir örneðidir. Diyafram irritasyonu klavikulanýn üzerindeki bir bölgede aðrý duyusu olarak frenik sinir tarafýndan oluþturulur. Acil servise sol omuz aðrýsý nedeniyle baþvuran ve splenik apse tanýsý konulan 21 yaþýndaki kadýn olguyu sunduk.