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Treatment Experiences of Abdominal Cutaneous Nerve Entrapment Syndrome -A report of 3 cases-  

Rhee, Ho Dong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Park, Eun Young (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Lee, Bahn (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Kim, Won Oak (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Duck Mi (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Kyung Bong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 292-295 More about this Journal
Abstract
The diagnosis of chronic abdominal pain due to abdominal cutaneous nerve entrapment can be elusive. Tenderness in patients with abdominal pain is naturally assumed to be of either peritoneal or visceral origin. Studies have shown that some patients suffer from prolonged pain in the abdominal wall and are often misdiagnosed, even after unnecessary and expensive diagnostic tests, including potentially dangerous invasive procedures, and treated as having a visceral source for their complaints, even in the presence of negative X-ray findings and atypical symptoms. Abdominal cutaneous nerve entrapment syndrome is rarely diagnosed, which is possibly due to failure to recognize the condition rather than the lack of occurrence. The accepted treatment for abdominal cutaneous nerve entrapment syndrome is a local injection, with infiltration of anesthetic agents coupled with steroids. Careful history taking and physical examination, in conjunction with the use of trigger zone injections, can advocate the diagnosis of abdominal cutaneous nerve entrapment and preclude any unnecessary workup of these patients. Herein, 3 cases of abdominal cutaneous nerve entrapment syndrome, which were successfully treated with local anesthetics and steroid, are reported.
Keywords
abdominal cutaneous nerve entrapment; abdominal wall; chronic abdominal pain;
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1 Gray DW, Dixon JM, Seabrook G, Collin J: Is abdominal wall tenderness a useful sign in the diagnosis of non-specific abdominal pain? Ann R Coll Surg Engl 1988; 70: 233-4
2 Sippo WC, Burghardt A, Gomez AC: Nerve entrapment after Pfannenstiel incision. Am J Obstet Gynecol 1987; 157: 420-1   DOI
3 Gerwin RD, Shannon S, Hong CZ, Hubbard D, Gevirtz R: Interrater reliability in myofascial trigger point examination. Pain 1997; 69: 65-73   DOI   ScienceOn
4 Travell J, Rinzler SH: The myofascial genesis of pain. Postgrad Med 1952; 11: 425-34   DOI
5 Thomson WH, Dawes RF, Carter SS: Abdominal wall tenderness: a useful sign in chronic abdominal pain. Br J Surg 1991; 78: 223-5   DOI   ScienceOn
6 Doouss TW, Boas RA: The abdominal cutaneous nerve entrapment syndrome. N Z Med J 1975; 81: 473-5
7 Applegate WV: Abdominal cutaneous nerve entrapment syndrome. Surgery 1972; 71: 118-24
8 Greenbaum DS, Greenbaum RB, Joseph JG, Natale JE: Chronic abdominal wall pain. Diagnostic validity and costs. Dig Dis Sci 1994; 39: 1935-41   DOI
9 Hershfield NB: The abdominal wall. A frequently overlooked source of abdominal pain. J Clin Gastroenterol 1992; 14: 199-202   DOI   ScienceOn
10 Hall PN, Lee AP: Rectus nerve entrapment causing abdominal pain. Br J Surg 1988; 75: 917   DOI   ScienceOn
11 Good MG: Pseudo-appendicitis. Acta Med Scand 1950; 138: 348-53
12 Komar J, Varga B: Syndrome of the rectus abdominis muscle: a peripheral neurological condition causing abdominal diagnostic problems. J Neurol 1975; 210: 121-5   DOI
13 Spence EK, Rosato EF: The slipping rib syndrome. Arch Surg 1983; 118: 1330-2   DOI   ScienceOn
14 Sharf M, Shvartzman P, Parkash E, Horvitz J: Thoracic lateral cutaneous nerve entrapment syndrome without previous lower abdominal surgery. J Fam Prac 1990; 30: 211-4
15 Sippo WC, Gomez AC: Nerve-entrapment syndromes from lower abdominal surgery. J Fam Pracr 1987; 25: 585-7
16 Applegate WV, Buckwalter NR: Microanatomy of the structures contributing ro abdominal cutaneous nerve entrapment syndrome. J Am Board Fam Pract 1997; 10: 329-32
17 Peleg R, Gohar J, Korerz M, Peleg A: Abdominal wall pain in pregnant women caused by thoracic lateral cutaneous nerve entrapment. Eur J Obstet Gynecol Reprod Biol 1997; 74: 169-71   DOI   ScienceOn
18 Sharp HT: Myofascial pain syndrome of the abdominal wall for the busy clinician. Clin Obstet Gynecol 2003; 46: 783-8   DOI   ScienceOn
19 Johansen KH, Dellinger EP, Loeser JD: Abdominal pain caused by other diseases. In: Bonica's management of pain. 3rd ed. Edited by Loeser JD: Philadelphia, Lippincott Williams & Wilkins. 2001, pp 1323-48
20 Abdominal wall tenderness test: could Carnett cut costs) [editorial]. Lancet 1991; 337: 1134   DOI   ScienceOn