Subscribe to RSS
Download PDF
DOI: 10.1055/a-1784-0504
Endoscopy-induced anterior cutaneous nerve entrapment syndrome: a case series
Abstract
Background and study aims Anterior cutaneous nerve entrapment syndrome (ACNES) is a common but frequently overlooked disorder. Here we report on a series of patients with ACNES following endoscopy.
Patients and methods This case series included consecutive patients with localized abdominal pain following an endoscopic procedure that was consistent with ACNES who presented to the author’s Gastroenterology Outpatient Clinic from February 2019 to February 2021.
Results Six patients presented with complaints compatible with ACNES. All of them were successfully managed with local injection therapy (n = 5) or pulsed radiofrequency (PRF) (n = 1).
Conclusions It appears that ACNES can be induced by endoscopy. Early recognition is important to avoid unnecessary diagnostics and delayed pain relief in patients. Most patients can be managed with local injection therapy.
Publication History
Received: 25 August 2021
Accepted: 14 December 2021
Article published online:
14 April 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Carnett J. Intercostal neuralgia as a cause of abdominal pain and tenderness. Surg Gyn Obstet 1926; 42: 625-632
- 2 Scheltinga M, Roumen R. Anterior cutaneous nerve entrapment syndrome (ACNES). Hernia 2018; 22: 507-516
- 3 Jansen C, Bonouvrie D, Jacobs M. et al. Chronic abdominal pain after previous bariatric surgery: consider the abdominal wall. Obes Surg 2020; 30: 2942-2948
- 4 Boelens O, Scheltinga M, Houterman S. et al. Management of anterior cutaneous nerve entrapment syndrome in a cohort of 139 patients. Ann Surg 2011; 254: 1054-1058
- 5 Okamoto T, Fukuda K. Anterior cutaneous nerve entrapment syndrome occurring after endoscopy. Case Rep Gastroenterol 2020; 14: 377-382
- 6 Kuan LC, Li YT, Chen FM. et al. Efficacy of treating abdominal wall pain by local injection. Taiwan J Obstet Gynecol 2006; 45: 239-243
- 7 Takada T, Ikusaka M, Ohira Y. et al. Diagnostic usefulness of Carnett's test in psychogenic abdominal pain. Intern Med 2011; 50: 213-217
- 8 van Assen T, Brouns J, Scheltinga M. et al. Incidence of abdominal pain due to the anterior cutaneous nerve entrapment syndrome in an emergency department. Scand J Trauma Resusc Emerg Med 2015; 23: 19
- 9 Koop H, Koprdova S, Schürmann C. Chronic abdominal wall pain-a poorly recognized clinical problem. Dtsch Arztebl Int 2016; 113: 51-57
- 10 Mol F, Heukelsfeldt Jansen C, Boelens O. et al. Adding steroids to lidocaine in a therapeutic injection regimen for patients with abdominal pain due to anterior cutaneous nerve entrapment syndrome (ACNES): a single blinded randomized clinical trial. Scand J Pain 2018; 18: 505-512
- 11 Maatman R, van Kuijk S, Steegers M. et al. A randomized controlled trial to evaluate the effect of pulsed radiofrequency as a treatment for anterior cutaneous nerve entrapment syndrome in comparison to anterior neurectomy. Pain Pract 2019; 19: 751-761