Anterior Cutaneous Nerve Entrapment Syndrome in Children

Journal of Pediatric Surgery
Sigrid BairdainDavid P Mooney

Abstract

The purpose of this manuscript is to report on an entity known as Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) and its relevance to chronic abdominal pain encountered in children. Following institutional review board approval, we retrospectively reviewed patients who underwent operation for presumed ACNES from 2011-2014. Variables reviewed included age, gender, age at surgery, time from onset of pain to surgery, additional medical treatments, and surgery performed. The main outcome measure was amelioration of pain. Nine patients met the study criteria whereby 7 were female and 2 were male patients. Median age at time of surgery was 14 years (range: 10-19 years) and time from onset of symptoms to surgery was 10 months (range: 0.5-60 months). Eight reported complete resolution of the original symptoms in follow-up appointments. One patient reported new, yet similar symptoms on her opposite trunk. ACNES is a reported cause of chronic abdominal pain that can be managed surgically in the pediatric patient once medical management has been optimized. Close collaboration between surgeons and pain specialists helps identify patients who will benefit from surgical interventions and consideration of this condition could result in ...Continue Reading

References

Jan 16, 1999·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·R Peleg
Jun 27, 2009·American Journal of Surgery·Rolv-Ole Lindsetmo, Jonah Stulberg
Mar 19, 2011·Current Opinion in Supportive and Palliative Care·John M Goddard
Apr 19, 2011·Journal of Pediatric Surgery·Marc R ScheltingaRudi M Roumen
Jul 6, 2011·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Intezar AhmedJile D Rawat
Oct 26, 2012·European Journal of Pediatrics·Josiane Aparecida Alves BianchiniNelson Nardo

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Citations

Dec 1, 2017·The Clinical Journal of Pain·Tomislav KiferIva Hojsak
Mar 9, 2018·European Journal of Pediatrics·Murid SiawashMarc Scheltinga
Sep 12, 2015·Journal of Pediatric Gastroenterology and Nutrition·Warren P Bishop
Sep 4, 2015·Journal of Pediatric Gastroenterology and Nutrition·Murid SiawashMarc R Scheltinga
Feb 18, 2016·Deutsches Ärzteblatt International·Herbert KoopChristine Schürmann

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