诊断难题：对于患有非典型腹痛和克罗恩病的患者，应考虑前皮神经卡压综合征（ACNES）。
Diagnostic dilemma: think about anterior cutaneous nerve entrapment syndrome (ACNES) in patients with atypical abdominal pain and Crohn's disease.
作者信息
Lam Kenneth, Vasey Carolyn
机构信息
Gold Coast University Hospital, Southport, Queensland, Australia.
出版信息
BMJ Case Rep. 2018 Mar 28;2018:bcr-2017-224041. doi: 10.1136/bcr-2017-224041.
Abstract
Chronic abdominal pain can be a difficult diagnostic dilemma. Anterior cutaneous nerve entrapment syndrome (ACNES) is a potential differential diagnosis that should be considered because treatment is both easy and effective. We describe the case of a 51-year-old man presenting with 7 months of right lower quadrant abdominal pain on the background of known Crohn's disease. A circumspect surgical approach and multidisciplinary input was key to making the diagnosis of a nerve entrapment syndrome.
摘要
慢性腹痛可能是一个难以诊断的难题。前皮神经卡压综合征（ACNES）是一个应被考虑的潜在鉴别诊断，因为其治疗既简单又有效。我们描述了一名51岁男性的病例，该患者在已知克罗恩病的背景下出现右下象限腹痛7个月。谨慎的手术方法和多学科协作对于诊断神经卡压综合征至关重要。
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