Vardi David Liron, David Rami
Gynecology and Obstetrics Department, Hillel Yaffe Medical Center, Hadera.
Spine Surgery Unit, Meir Medical Center, Kfar Saba.
Harefuah. 2022 Jun;161(6):367-370.
Anterior cutaneous nerve entrapment syndrome (ACNES) is one of the causes of chronic abdominal pain. Symptoms include intense focused chronic abdominal pain, affected by posture changes and exertion. Particularly noticeable are the lack of pathological findings in laboratory and imaging tests, from the most basic to the more advanced. Proper diagnosis and appropriate treatment depend on raising the clinical suspicion with typical findings on physical examination. Confirmation of the diagnosis is obtained by significant alleviation of pain following injection of local anesthetics into the maximal tender point. Acceptable treatment includes local injections (local anesthetics and occasionally corticosteroids), radiofrequency neurotomy and, if failed, surgery. Accurate diagnosis and proper treatment result in pain relief in most patients.
前皮神经卡压综合征(ACNES)是慢性腹痛的病因之一。症状包括强烈的局限性慢性腹痛,会因姿势改变和用力而加重。特别值得注意的是,从最基础到更高级的实验室和影像学检查均未发现病理结果。正确的诊断和适当的治疗取决于通过体格检查中的典型表现提高临床怀疑度。在最大压痛点注射局部麻醉剂后疼痛显著缓解可确诊。可接受的治疗包括局部注射(局部麻醉剂,偶尔使用皮质类固醇)、射频神经切断术,若治疗失败则进行手术。准确的诊断和适当的治疗可使大多数患者的疼痛得到缓解。