Civil Service Hospital, Minbhawan, Nepal.
National Academy of Medical Sciences, National Trauma Center, Kathmandu, Nepal.
J Nepal Health Res Counc. 2022 Jun 3;20(1):272-275. doi: 10.33314/jnhrc.v20i01.3690.
Entrapment abdominal neuropathy is not a common diagnosis in our context. Chronic Abdominal wall pain is often mistaken for gastritis, gynecological issue, thoracic spinal radiculopathy, rectus sheath hematoma, abdominal muscle injury or psychiatric disorder. Anterior cutaneous nerve entrapment syndrome is one of the frequent causes of abdominal wall pain occurring due to trapped thoracic intercostal nerves between abdominal muscles. History and bedside Carnett's sign can elicit the diagnosis. Injection of the local anesthetics with steroids in the junction between the rectus sheath and abdominal muscle under ultrasound guidance can provide sustained pain relief. We should consider Anterior cutaneous nerve entrapment syndrome as a differential diagnosis while evaluating the abdominal wall pain. Keywords: ACENE; carnett's test; chronic abdominal pain; entrapment neuropathy; hydrodissection.
内脏疝入性腹部神经病在我们的语境中并不常见。慢性腹壁疼痛常被误诊为胃炎、妇科问题、胸段脊神经根病、腹直肌鞘血肿、腹肌损伤或精神障碍。前皮神经嵌压综合征是腹壁疼痛的常见原因之一，这种疼痛是由于腹部肌肉之间的胸肋间神经被嵌压引起的。病史和床边 Carnett 征可引出该诊断。超声引导下在腹直肌鞘和腹肌交界处注射局部麻醉药和类固醇可提供持续的疼痛缓解。在评估腹壁疼痛时，我们应将前皮神经嵌压综合征作为鉴别诊断之一。
ACENE；Carnett 试验；慢性腹痛；嵌压性神经病；水分离。
