scholarly journals Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES): A Commonly Overlooked Cause of Abdominal Pain

2002 ◽  
Keyword(s):  
Abdominal Pain ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Nerve Entrapment Syndrome

Severe Abdominal Pain Relieved With a Steroid Injection: Anterior Cutaneous Nerve Entrapment Syndrome

2017 ◽  
Vol 112 ◽  
pp. S1304
Author(s):  
Laith Al Momani ◽  
Lindsey Crosnoe-Shipley ◽  
Allison Locke ◽  
James Allen Swenson ◽  
Mark Young
Keyword(s):  
Abdominal Pain ◽  
Steroid Injection ◽  
Severe Abdominal Pain ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Nerve Entrapment Syndrome

Prevalence of Anterior Cutaneous Nerve Entrapment Syndrome in a Pediatric Population With Chronic Abdominal Pain

2016 ◽  
Vol 62 (3) ◽  
pp. 399-402 ◽  
Author(s):  
Murid Siawash ◽  
Jenneke W.A. de Jager-Kievit ◽  
Walther Tjon A. Ten ◽  
Rudi M. Roumen ◽  
Marc R. Scheltinga
Keyword(s):  
Abdominal Pain ◽  
Pediatric Population ◽  
Chronic Abdominal Pain ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Entrapment Syndrome ◽  
Nerve Entrapment Syndrome

scholarly journals Anterior Cutaneous Nerve Entrapment Syndrome Occurring after Endoscopy

2020 ◽  
Vol 14 (2) ◽  
pp. 377-382
Author(s):  
Takeshi Okamoto ◽  
Katsuyuki Fukuda
Keyword(s):  
Abdominal Pain ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Gastric Ulcers ◽  
Entrapment Syndrome ◽  
Mild Abdominal Pain ◽  
Lidocaine Injection ◽  
Carnett’S Sign ◽  
Nerve Entrapment Syndrome

A 45-year-old lady presented for a follow-up endoscopy examination for mild abdominal pain due to gastric ulcers. She experienced a severe, markedly different type of pain with labor-like contractions 3 days later. Physical examination revealed tenderness confined to a 1 × 1-cm area and positive Carnett’s sign. The pain completely resolved 10 min after a subcutaneous lidocaine injection. The patient was diagnosed with anterior cutaneous nerve entrapment syndrome. The pain returned within several hours and anterior neurectomy was performed several days later. The pain subsided immediately and no recurrence was seen during 3 years of follow-up.

Adding steroids to lidocaine in a therapeutic injection regimen for patients with abdominal pain due to anterior cutaneous nerve entrapment syndrome (ACNES): a single blinded randomized clinical trial

2018 ◽  
Vol 18 (3) ◽  
pp. 505-512 ◽  
Author(s):  
Frédérique M.U. Mol ◽  
Claire Heukelsfeldt Jansen ◽  
Oliver B. Boelens ◽  
Dirk L. Stronks ◽  
Percy Van Eerten ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pain Relief ◽  
Rating Scale ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Injection Therapy ◽  
Temporary Increase ◽  
Entrapment Syndrome ◽  
Injection Regimen ◽  
Nerve Entrapment Syndrome

Abstract Background and aims Anterior cutaneous nerve entrapment syndrome (ACNES) may result in chronic abdominal pain. Therapeutic options include local injection therapy. Data on the efficacy of adding corticosteroids to these injections is lacking. Methods Patients ≥18 years with ACNES were randomized to receive an injection of lidocaine with (LC-group) or without (LA-group) the addition of methylprednisolone into the point of maximal abdominal wall pain. Pain was recorded using a numeric rating scale (NRS: 0–10) and a verbal rating scale (VRS: 0=no pain, 5=unbearable pain) at baseline and 6 weeks after the start of a bi-weekly injection regimen consisting of a total of three injections. A minimal 50% reduction on NRS and/or two points on VRS were considered successful responses. Results Between February 2014 and August 2016, 136 patients (median age 46 year, range 18–79, 75% females) were randomized (68 vs. 68). The proportion of patients demonstrating a successful response after 6 weeks did not significantly differ between groups (LA 38%, LC 31%, p=0.61). At 12 weeks, the number of patients still experiencing a minimal 50% pain relief had decreased but no group difference was observed (LA 20%, LC 18%, p=0.80). Minor side effects included temporary increase of pain, tenderness at injection sites or transient malaise (LA23/68, LC 29/68, p=0.46). Conclusions Adding corticosteroids to a lidocaine does not increase the proportion of ACNES patients with a successful response to injection therapy. Lidocaine alone can provide long term pain relief after one or multiple injections, in approximately 1 of 5 patients.

Sign in / Sign up

Export Citation Format

Share Document