Anterior cutaneous nerve entrapment syndrome information
Not to be confused with Acne.
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Medical condition
Anterior cutaneous nerve entrapment syndrome
Intercoastal nerves (anatomy)
Specialty
Neurology
Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall.[1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
ACNES is frequently overlooked and unrecognized, although the incidence is estimated to be 1:2000 patients.[2]
The relative unfamiliarity with this condition often leads to significant diagnostic delays and misdiagnoses, often resulting in unnecessary diagnostic interventions and futile procedures.[3] Physicians often misdiagnose ACNES as irritable bowel syndrome or appendicitis as symptoms of the condition are not unique to this syndrome.[4][5]
^"Anterior cutaneous nerve entrapment syndrome". Orpha. Retrieved 27 February 2024.
^Van Assen, T.; Brouns, J. A. G. M.; Scheltinga, M. R.; Roumen, R. M. (2015). "Incidence of abdominal pain due to the anterior cutaneous nerve entrapment syndrome in an emergency department". Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 23: 19. doi:10.1186/s13049-015-0096-0. PMC 4327965. PMID 25887961.
^Srinivasan, R; Greenbaum, D. S. (2002). "Chronic abdominal wall pain: A frequently overlooked problem. Practical approach to diagnosis and management". The American Journal of Gastroenterology. 97 (4): 824–30. doi:10.1111/j.1572-0241.2002.05662.x. PMID 12003414. S2CID 13233372.
^Van Assen, T; De Jager-Kievit, J. W.; Scheltinga, M. R.; Roumen, R. M. (2013). "Chronic abdominal wall pain misdiagnosed as functional abdominal pain". The Journal of the American Board of Family Medicine. 26 (6): 738–44. doi:10.3122/jabfm.2013.06.130115. PMID 24204070.
^Van Assen, T; Boelens, O. B.; Kamphuis, J. T.; Scheltinga, M. R.; Roumen, R. M. (2012). "Construction and validation of a questionnaire distinguishing a chronic abdominal wall pain syndrome from irritable bowel syndrome". Frontline Gastroenterology. 3 (4): 288–294. doi:10.1136/flgastro-2012-100207. PMC 3730810. PMID 23914291.
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