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⋅Received:30 May 2017 ⋅Revised:7 June 2017 ⋅Accepted:7 June 2017 ⋅Correspondence to:Chang-Gue Son Liver and Immunology Research Center, Daejeon Oriental Hospital of Daejeon University 176-9, Daeheung-ro, Jung-gu, Daejeon, 34929 Republic of Korea Tel:+82-42-229-6807, Fax:+82-42-257-6398, E-mail:ckson@dju.ac.kr Objectives: To inform a clinical case of a refractory levator ani syndrome, that was improved by treatments of traditional Korean medicine (TKM). Methods: A 55-years old female had complained severe anorectal pain which didn’t respond to Western medicine therapeutics during 5 months including 45-day hospitalization. Whereas the symptom was rapidly resolved by the treatment in a Korean medicine hospital, and the clinical outcome was monitored. Result: There was no abnormality explaining the anorectal pain from blood tests, gastrointestinal endoscopy, sonogram and computed tomography for abdomen and pelvis. The patient was diagnosed with a levator ani syndrome. Based on the typical feature of tenderness of lower abdomen as well as beating sign around belly, an herbal drug, Shihogayonggolmoryo-tang (柴胡加龍骨牡蠣湯) was prescribed. In addition, the warm acupuncture at BL 31 to BL 33 and moxibustion on lower abdomen were given to the patient. The anorectal pain was radically reduced from treatment 7-day, and it almost disappeared within treatment 25-day. Conclusion: This case report would provide information for the potential of TKM therapies focused on the refractory levator ani syndrome which no satisfactory therapy exist.

Case Report for a Refractory Levator Ani Syndrome Treated with Traditional Korean Medication