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American Journal of Hospice and Palliative Medicine®, Vol. 24, No. 3, 219-223 (2007)
DOI: 10.1177/1049909106298395
© 2007 SAGE Publications

Somatization Disorder, a Cause of Difficult Pain: A Case Report

Deepak Gupta, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Seema Mishra, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Sushma Bhatnagar, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India, shumob{at}yahoo.com.

Presented is a case report of a 55-year-old man with a suspected diagnosis of pancreatic malignancy who was referred for pain management to the pain and palliative care clinic. A diagnosis of pain originating from a malignancy was later ruled out. The patient was referred for psychiatric evaluation, where his pain symptoms were confirmed to be somatoform in origin. This case highlights the importance of ruling out somatization as the cause of symptoms in difficult pain patients.

Key Words: somatoform symptoms • pain management • palliative care


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