Prevalence of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) in a Pediatric Population with Chronic Abdominal Pain

Journal of Pediatric Gastroenterology and Nutrition
Murid SiawashM R Scheltinga

Abstract

Anterior cutaneous nerve entrapment syndrome (ACNES) is a frequently overlooked condition causing chronic abdominal pain. Objective of the present study was to investigate the rate of ACNES in a pediatric outpatient cohort with chronic abdominal pain. A cross-sectional cohort study was conducted in a population 10-18 years of age consulting a pediatric outpatient department with new onset chronic abdominal pain during a two years' time period. All individuals were identified through a standard hospital registration system. History, physical examination, diagnosis and success of treatment were obtained in patients who were diagnosed with ACNES RESULTS:: Twelve of 95 adolescents with chronic abdominal pain were found to suffer from ACNES. Carnett's sign was positive at the lateral border of the rectus abdominus muscle in all 12. Altered skin sensation was present in 11/12 ACNES patients. Six weeks after treatment (1-3 injections, n = 5; neurectomy, n = 7), pain was absent in 11 patients. ACNES is present in 1 of 8 adolescents presenting with chronic abdominal pain to a pediatric outpatient department of a teaching hospital. Simple physical examinational testing allows for the diagnosis. Treatments including nerve blocks or surger...Continue Reading

References

Oct 1, 1990·Anesthesiology·R F Haynsworth, C E Noe
Aug 1, 1996·The Journal of Pediatrics·J S HyamsP A Andrulonis
Mar 3, 2005·Pediatrics·UNKNOWN American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain, UNKNOWN North American Society for Pediatric Gastroenterology Hepatology, and Nutrition
May 9, 2006·Gastroenterology·Andrée RasquinLynn S Walker
May 12, 2007·BMJ : British Medical Journal·M Y BergerM A Benninga
Nov 1, 1933·Annals of Surgery·J B Carnett, W Bates
Nov 8, 2007·Paediatric Anaesthesia·Adam V Skinner, Gillian R Lauder
Jun 27, 2009·American Journal of Surgery·Rolv-Ole Lindsetmo, Jonah Stulberg
Apr 19, 2011·Journal of Pediatric Surgery·Marc R ScheltingaRudi M Roumen
Nov 8, 2013·European Journal of Pediatrics·Samira AkhnikhPeter de Winter
Nov 10, 2013·Journal of the American Board of Family Medicine : JABFM·Tijmen van AssenRudi M H Roumen
Sep 6, 2014·World Journal of Surgery·T van AssenR M Roumen
Mar 19, 2015·Journal of Pediatric Surgery·Sigrid BairdainDavid P Mooney

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Citations

Sep 3, 2016·Pediatrics in Review·Paul E Hyman
Dec 1, 2017·The Clinical Journal of Pain·Tomislav KiferIva Hojsak
Mar 9, 2018·European Journal of Pediatrics·Murid SiawashMarc Scheltinga
May 7, 2019·Journal of Pediatric Gastroenterology and Nutrition·Murid SiawashMarc Scheltinga
Sep 12, 2015·Journal of Pediatric Gastroenterology and Nutrition·Warren P Bishop
Jun 20, 2020·Journal of Pediatric Surgery·Jasper MarkusRamon R Gorter
Sep 2, 2018·The American Journal of Emergency Medicine·Kenneth Frumkin, Liam F Delahanty
May 29, 2021·Plastic and Reconstructive Surgery. Global Open·Ava G ChappellGregory A Dumanian
Oct 7, 2021·Pediatrics International : Official Journal of the Japan Pediatric Society·Shogo MinamikawaYasuo Nakagishi

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