scholarly journals Abdominal Cutaneous Nerve Entrapment Syndrome, Case Report and Diagnostic Evaluation

2019 ◽  
Vol 38 (02) ◽  
pp. 141-144
Author(s):  
Jose Fernando Guedes-Correa ◽  
Stephanie Oliveira Fernandes de Bulhões
Keyword(s):  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Findings ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Noninvasive Treatment ◽  
Important Differential Diagnosis ◽  
Anterolateral Wall ◽  
Nerve Entrapment Syndrome

Abdominal cutaneous nerve entrapment is a rarely diagnosed condition that leads to intense neuropathic pain in the anterolateral wall of the abdomen. Generally, it is triggered by some factor implied in the increase of the pressure on the nerve in its passage by the abdominal wall. Its most important differential diagnosis is pain of visceral origin.We present a case in which the clinical findings confirmed on ultrasound and other imaging tests established the diagnosis and in which the noninvasive treatment was effective.

Peripheral nerve field stimulation for peristomal pain

Ból ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 59-62
Author(s):  
Osman Chaudhary ◽  
Teodor Goroszeniuk ◽  
Christopher Chan
Keyword(s):  
Neuropathic Pain ◽  
Peripheral Nerve ◽  
Abdominal Wall ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Field Stimulation ◽  
Pain Clinics ◽  
Surgical Incisions ◽  
Peripheral Nerve Field Stimulation ◽  
Nerve Entrapment Syndrome

Chronic pain attributed to the abdominal wall is seen in 10-30% of patients who present to specialist pain clinics [24]. The most common cause is abdominal cutaneous nerve entrapment syndrome (ACNES). Trauma, including surgical incisions and tissue scarring, are well accepted causes of cutaneous nerve entrapment causing neuropathic pain [24]. The occurrence of peristomal neuropathic pain associated with an ileal-conduit formation is rare. A case of chronic cutaneous peristomal pain of the abdominal wall, refractory to conventional pharmacological therapies is described. The technique of peripheral nerve field stimulation (PNFS) for the successful management of peristomal neuropathic abdominal wall pain is reported.

Bilateral distribution of anterior cutaneous nerve entrapment syndrome (ACNES): are clinical features and outcomes comparable to unilateral ACNES?

2019 ◽  
Vol 44 (4) ◽  
pp. 513-520 ◽  
Author(s):  
Robbert C Maatman ◽  
Mads U Werner ◽  
Marc R M Scheltinga ◽  
Rudi M H Roumen
Keyword(s):  
Neuropathic Pain ◽  
Abdominal Wall ◽  
Mirror Image ◽  
The Body ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Neuropathic Pain Syndrome ◽  
Entrapment Syndrome ◽  
Abdominal Wall Pain ◽  
Nerve Entrapment Syndrome

Background and objectivesMirror-image pain may occur in the presence of a one-sided peripheral nerve lesion leading to a similar distribution of pain on the contralateral side of the body (“mirrored”). Anterior cutaneous nerve entrapment syndrome (ACNES) is a neuropathic pain syndrome due to entrapment of terminal branches of intercostal nerves T7–12 in the abdominal wall and sometimes presents bilaterally. This study aims to address specifics of bilateral ACNES and to determine potential differences in clinical presentation and treatment outcomes when compared with the unilateral form of ACNES.MethodsElectronic patient files and questionnaires of a case series of patients who were evaluated for chronic abdominal wall pain in a single center were analyzed using standard statistical methods.ResultsBetween June 1, 2011 and September 1, 2016, 1116 patients were diagnosed with ACNES, of which a total of 146 (13%) with bilateral ACNES were identified (female, n = 114, 78 %; median (range) age 36 (1181) years). Average NRS (Numeric Rating Scale; 0–10) scores were similar (median (range) NRS scores 6 (0–10) although peak NRS scores were significantly higher in the bilateral group (9 (5–10) vs 8 (2–10); p=0.02). After a median of 26 months (1–68), the proportion of patients with bilateral ACNES reporting treatment success was 61%.ConclusionsOne in eight patients with ACNES has bilateral abdominal wall pain. Characteristics are similar to unilateral ACNES cases. Further studies aimed at underlying mechanisms in mirror image pain pathogenesis could provide a more targeted approach in the management of this neuropathic pain.

Anterior cutaneous nerve entrapment syndrome following an appendectomy: case report

2016 ◽  
Vol 37 (5) ◽  
pp. 823-824 ◽  
Author(s):  
Agathangelos Triantafyllidis ◽  
Ahmer Mosharaf ◽  
Hu Liang Low
Keyword(s):  
Case Report ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Nerve Entrapment Syndrome
Sign in / Sign up

Export Citation Format

Share Document