Abstract
Abdominal cutaneous nerve entrapment syndrome is caused by entrapment of an intercostal nerve in a fibrous ring in the rectus abdominis muscle and causes neuropathic pain. It remains an overlooked cause of chronic abdominal wall pain. Carnett’s test is useful to make a diagnosis. An injection of local anaesthetic and corticosteroid combination relieves pain and it is both diagnostic and treatment. This review article describes its pathophysiology, clinical diagnosis and its management. The databases Medline, and Google Scholar were searched using the terms chronic abdominal pain in general, surgical and gynaecological practice. Database were merged and duplicates were removed. The aim of the review is to update the knowledge on this topic in day to day clinical practice.
Highlights
If a patient presents with chronic abdominal pain and no diagnosis is arrived, abdominal cutaneous nerve entrapment syndrome (ACNES) should be considered as a most probable diagnosis. [1, 2] EpidemiologyIt is estimated that incidence of ACNES is 1 in 1800
If a patient presents with chronic abdominal pain and no diagnosis is arrived, ACNES should be considered as a most probable diagnosis. [1, 2]
In ACNES, all these mechanisms can be at work. [4]
Summary
If a patient presents with chronic abdominal pain and no diagnosis is arrived, ACNES should be considered as a most probable diagnosis. [1, 2]. If a patient presents with chronic abdominal pain and no diagnosis is arrived, ACNES should be considered as a most probable diagnosis. It is estimated that incidence of ACNES is 1 in 1800. It is seen in up to 30% of the patients with chronic abdominal pain who had negative results of prior diagnostic work up. The peak incidence of the condition is seen among the age group of 30-50 years and it is reported in 12% of pediatric outpatients with chronic abdominal pain
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