Anterior Cutaneous Nerve Entrapment Syndrome Presenting as Chronic Abdominal Pain
2024

Anterior Cutaneous Nerve Entrapment Syndrome and Chronic Abdominal Pain

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Pratka Holden W, Martinez Mike

Primary Institution: Baylor Scott and White Allsaints, Fort Worth, USA

Hypothesis

This report seeks to illuminate the importance of considering ACNES in a patient with chronic abdominal pain.

Conclusion

The patient reported greater than 80% improvement in discomfort following placement of a spinal cord stimulator.

Supporting Evidence

  • ACNES is a common cause of chronic abdominal wall pain.
  • The patient had a previous diagnosis of ACNES and underwent a neurectomy without success.
  • Following spinal cord stimulator placement, the patient reported complete resolution of pain.

Takeaway

A man in his 20s had chronic abdominal pain for many years, but after getting a special device implanted in his back, he felt much better and could be active again.

Methodology

The patient underwent a right unilateral transversus abdominis plane block and later a spinal cord stimulator trial.

Potential Biases

Potential bias due to the subjective nature of pain reporting and the patient's mental health status.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A male in his 20s with a history of chronic abdominal pain.

Digital Object Identifier (DOI)

10.7759/cureus.74921

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