Characteristics of 1116 Consecutive Patients Diagnosed With Anterior Cutaneous Nerve Entrapment Syndrome (ACNES).

Annals of Surgery
Frederique MolR M Roumen

Abstract

The aim of this study was to discuss patient history and subjective findings at physical examination in a large case series to validate a proposed comprehensive set of major and minor diagnostic criteria. Chronic abdominal pain in some patients is caused by the anterior cutaneous nerve entrapment syndrome (ACNES). ACNES is a clinical diagnosis as no functional testing or imaging modalities are available up to date. This study retrospectively analyzed prospectively obtained data from consecutive patients who received the diagnosis ACNES during evaluation at the SolviMáx Center of Excellence for Abdominal Wall and Groin Pain, Eindhoven, The Netherlands, between June 1, 2011 and September 1, 2016. Questionnaires, standard case forms, and digital case files containing characteristics of individuals were used for analysis. Data of 1116 patients suspected and treated for ACNES consistently showed the presence of the following 4 characteristics: sensory disturbances at the painful abdominal area (78%), a positive pinch sign (78%), a positive Carnett's sign (87%), and a positive response to a modified rectus sheath block (>50% pain reduction, 81%). The majority of patients are female of young or middle age with a normal BMI reporting c...Continue Reading

References

Aug 5, 2000·The American Journal of Gastroenterology·T J McGarrityS J McGarrity
Jun 27, 2009·American Journal of Surgery·Rolv-Ole Lindsetmo, Jonah Stulberg
Nov 10, 2013·Journal of the American Board of Family Medicine : JABFM·Tijmen van AssenRudi M H Roumen
Feb 28, 2014·Plastic and Reconstructive Surgery·A Lee Dellon
Apr 19, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Tijmen van AssenRudi M Roumen
Jun 14, 2015·British Journal of Anaesthesia·E K AasvangH Kehlet
Feb 2, 2017·Journal of Pain Research·Eleni ChronaChrysanthi Batistaki
Apr 9, 2017·American Journal of Surgery·Robert WrightDaniel Wright
Apr 16, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rudi M H RoumenMarc M Scheltinga

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Citations

Apr 28, 2020·Obesity Surgery·Claire M A Heukensfeldt JansenRudi M H Roumen
Feb 21, 2021·BMJ Case Reports·Takeshi Endo, Takashi Watari
Sep 5, 2020·Case Reports in Gastroenterology·Takeshi Okamoto, Katsuyuki Fukuda

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