Okamoto Takeshi, Fukuda Katsuyuki
Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.
Case Rep Gastroenterol. 2020 Jul 28;14(2):377-382. doi: 10.1159/000508440. eCollection 2020 May-Aug.
A 45-year-old lady presented for a follow-up endoscopy examination for mild abdominal pain due to gastric ulcers. She experienced a severe, markedly different type of pain with labor-like contractions 3 days later. Physical examination revealed tenderness confined to a 1 × 1-cm area and positive Carnett's sign. The pain completely resolved 10 min after a subcutaneous lidocaine injection. The patient was diagnosed with anterior cutaneous nerve entrapment syndrome. The pain returned within several hours and anterior neurectomy was performed several days later. The pain subsided immediately and no recurrence was seen during 3 years of follow-up.
一名45岁女性因胃溃疡引起的轻度腹痛前来进行内镜随访检查。3天后,她经历了一种严重的、与之前明显不同类型的疼痛,伴有类似分娩的宫缩。体格检查发现压痛局限于一个1×1厘米的区域,且卡内特征阳性。皮下注射利多卡因10分钟后疼痛完全缓解。该患者被诊断为前皮神经卡压综合征。疼痛在数小时内复发,几天后进行了前神经切除术。疼痛立即消退,在3年的随访中未见复发。