scholarly journals Su1586 - Prevalence of Anterior Abdominal Wall Pain in Patients Presenting to a Neurogastroenterology Clinic with Unexplained Chronic Abdominal Pain

2018 ◽  
Vol 154 (6) ◽  
pp. S-537
Author(s):  
Ron Fried ◽  
Ahmed Albusoda ◽  
Asma Fikree ◽  
Adam D. Farmer ◽  
Jayne Gallagher ◽  
...  
2019 ◽  
pp. 127-130
Author(s):  
Heath McAnally

Abdominal pain is common and has multiple etiologies. We present a case of chronic abdominal wall pain that was treated with phenol neurolysis via a tranversus abdominis plane (TAP). To date, only 4 case reports utilizing TAP neurolysis have been reported and all were performed in the context of malignancy-related pain. The TAP block has become an integral component of the regional anesthesiologist’s perioperative anesthesia and analgesia arsenal. In summary, chemical denervation of the anterior abdominal wall is feasible and efficacious in palliating chronic non-cancer pain via a TAP block technique. Key words: TAP, transversus abdominal plane, phenol, abdominal wall pain, neurolytic, noncancer pain


2013 ◽  
Vol 95 (2) ◽  
pp. e23-e25 ◽  
Author(s):  
K Siddique ◽  
K Slaven ◽  
A Samad

A middle-aged patient presented with intermittent chronic abdominal pain without any obvious cause. Computed tomography detected a hernia (presumed to be the cause of the patient’s symptoms) without any obvious lump on examination. A laparoscopy was performed to repair the hernia. This revealed a left-sided unilateral ‘peritoneal recess’ at the level of the arcuate line extending medial to the linea semilunaris. No extraperitoneal sac or defect was noted in the rectus sheath or in the muscle, nor were any contents present in the recess at the time of the laparoscopy. We believe the bowel was being trapped intermittently in this space, causing the abdominal symptoms.


2021 ◽  
Author(s):  
Jeffrey T. Laczek ◽  
Caleb Hudspath ◽  
Manish Singla

2019 ◽  
Vol 12 (5) ◽  
pp. e228396
Author(s):  
Quoc (Ryan) Tran ◽  
My Co Tran ◽  
Daniel Mehanna

Sparganosis is a rare zoonotic parasitosis that is sporadically reported worldwide. In Australia, the causative tapeworms are considered endemic in wildlife animals, however, there have been only five reported human infections. We present three additional cases of sparganosis, involving two Australian born gentlemen who have never travelled overseas and a woman who emigrated from Ethiopia. The first man presented with two unusual subcutaneous lumps that migrated along the anterior abdominal wall connected by a tunnel. The second man presented with two separate lumps, one on the thigh and the other on the left upper abdomen over a 4-week interval. The woman presented with 6 weeks of intermittent fevers, night sweats, abdominal pain and passing intestinal worms. This series of patients suggests that sparganosis is under-recognised in Australia and serves as a reminder for clinicians to the varied presentations that can be characteristic of this lesser known zoonosis.


2016 ◽  
Vol 33 (S1) ◽  
pp. S387-S388 ◽  
Author(s):  
M. Arts ◽  
J. Buis ◽  
L. de Jonge

IntroductionAnterior cutaneous nerve entrapment syndrome (ACNES) is a frequently overlooked disease, causing chronic abdominal wall pain due to entrapment of an anterior cutaneous branch of one or more thoracic intercostal nerves. It is often misdiagnosed as a psychiatric condition, particularly under the heading of a somatization disorder.ObjectivesWe describe the case of a patient who developed depressive symptoms after months of suffering from chronic abdominal wall pain.AimsTo report a case-study, describing ACNES as a cause of persistent depressive symptoms.MethodsA case-study is presented and discussed, followed by a literature review.ResultsA 35-year-female was referred to a psychiatrist for her depressive symptoms and persistent cutaneous abdominal pain for months. There she was diagnosed with a depression and possible somatization disorder and she received psychotherapy. Through Internet search, the patient found ACNES as a possible cause for her persistent abdominal pain. Since administration of anesthetic agents only shortly relieved her symptoms, a surgeon decided to remove the nerve end twigs. After surgery, her somatic problems and depressive mood disappeared.ConclusionThe awareness of ACNES is still very limited in medicine. This may lead to incorrect diagnoses, including psychiatric disorders such as somatization disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2013 ◽  
Vol 26 (6) ◽  
pp. 738-744 ◽  
Author(s):  
T. van Assen ◽  
J. W. A. J. de Jager-Kievit ◽  
M. R. Scheltinga ◽  
R. M. H. Roumen

1991 ◽  
Vol 78 (2) ◽  
pp. 223-225 ◽  
Author(s):  
W. H. F. Thomson ◽  
R. F. H. Dawes ◽  
S. S. T. C. Carter

1989 ◽  
Vol 82 (6) ◽  
pp. 343-344 ◽  
Author(s):  
N C Gallegos ◽  
M Hobsley

In some patients with abdominal pain, the source of the pain may be the abdominal wall. A simple test is described which allows these patients to be identified and treated with injections of local anaesthetic and steroid. Twenty-six patients were studied, 20 of whom were available for follow-up. Sixteen of these 20 were symptom free or improved at a median follow-up period of 29 months. Failure to recognize abdominal wall pain may lead to unnecessary investigation.


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