Suppr超能文献

日本一家急诊科关于前皮神经卡压综合征的横断面研究。

A cross-sectional study of anterior cutaneous nerve entrapment syndrome at a Japanese emergency department.

作者信息

Kano Yasuhiro, Komagamine Junpei, Murata Kengo

机构信息

Department of Emergency and General Medicine Tokyo Metropolitan Tama Medical Center Tokyo Japan.

Department of Emergency and Critical Care Medicine NHO Tokyo Medical Center Tokyo Japan.

出版信息

J Gen Fam Med. 2024 Jul 3;25(6):317-323. doi: 10.1002/jgf2.715. eCollection 2024 Nov.

Abstract

BACKGROUND

Anterior cutaneous nerve entrapment syndrome (ACNES) is the most common cause of abdominal wall pain. This study aimed to clarify the proportion of ACNES cases among those of abdominal pain and the clinical characteristics and prognosis of the disease in an emergency department (ED) of a Japanese general hospital.

METHODS

The medical records of patients from January 2014 to December 2023 were reviewed, and patients aged 15 years or older with abdominal pain with positivity for Carnett's sign, a good response to trigger point injection (TPI), and an ACNES diagnosis were included. The proportion of ACNES cases among the complaints related to abdominal pain in the ED between 2020 and 2023 was then determined. The recurrence rate was also determined using data from the medical records and telephone follow-ups.

RESULTS

Twenty-one patients were included. Their median age was 50 years (range: 16-83 years), 13 (62%) were female, and 11 (52%) had acute-onset pain. Follow-up data were available for 11 patients (52%), seven (64%) of whom had recurrent pain for a median period of 1 week after the index visit. The proportion of ACNES cases among those of abdominal pain was 0.11%.

CONCLUSION

ACNES might be uncommon among patients with abdominal pain in the ED setting although underdiagnosis of this condition might have led to an underestimation of the proportion of cases. Moreover, given the high recurrence rate of abdominal pain associated with ACNES, following up these patients is very important.

摘要

背景

前皮神经卡压综合征(ACNES)是腹壁疼痛最常见的原因。本研究旨在明确日本一家综合医院急诊科中,ACNES病例在腹痛患者中的占比以及该疾病的临床特征和预后。

方法

回顾了2014年1月至2023年12月期间患者的病历,纳入年龄在15岁及以上、有腹痛症状且卡内特征阳性、触发点注射(TPI)反应良好且诊断为ACNES的患者。然后确定2020年至2023年急诊科与腹痛相关主诉中ACNES病例的占比。还利用病历数据和电话随访确定复发率。

结果

纳入21例患者。他们的中位年龄为50岁(范围:16 - 83岁),13例(62%)为女性,11例(52%)为急性起病疼痛。11例患者(52%)有随访数据,其中7例(64%)在首次就诊后中位1周出现复发性疼痛。ACNES病例在腹痛患者中的占比为0.11%。

结论

在急诊科腹痛患者中,ACNES可能并不常见,尽管该疾病的漏诊可能导致病例占比被低估。此外,鉴于与ACNES相关的腹痛复发率较高,对这些患者进行随访非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93b/11565070/b355f19f3fee/JGF2-25-317-g002.jpg

相似文献

1
A cross-sectional study of anterior cutaneous nerve entrapment syndrome at a Japanese emergency department.
J Gen Fam Med. 2024 Jul 3;25(6):317-323. doi: 10.1002/jgf2.715. eCollection 2024 Nov.
3
Incidence of abdominal pain due to the anterior cutaneous nerve entrapment syndrome in an emergency department.
Scand J Trauma Resusc Emerg Med. 2015 Feb 8;23:19. doi: 10.1186/s13049-015-0096-0.
4
Anterior cutaneous nerve entrapment syndrome (ACNES): the forgotten diagnosis.
Eur J Pediatr. 2014 Apr;173(4):445-9. doi: 10.1007/s00431-013-2140-2. Epub 2013 Nov 7.
5
Anterior Cutaneous Nerve Entrapment Syndrome Caused by a Fixation Device: A Case Report.
A A Pract. 2024 May 24;18(6):e01789. doi: 10.1213/XAA.0000000000001789. eCollection 2024 Jun 1.
6
[ACNES syndrome, exploring the abdominal wall as source of abdominal pain].
Andes Pediatr. 2022 Feb;93(1):86-92. doi: 10.32641/andespediatr.v93i1.3619. Epub 2022 Mar 28.
9
Anterior Cutaneous Nerve Entrapment Syndrome: An Underestimated Diagnosis.
Cureus. 2023 Nov 2;15(11):e48165. doi: 10.7759/cureus.48165. eCollection 2023 Nov.

本文引用的文献

3
Endoscopic anisakis removal induced anterior cutaneous nerve entrapment syndrome.
BMJ Case Rep. 2021 Feb 19;14(2):e241455. doi: 10.1136/bcr-2020-241455.
4
Anterior Cutaneous Nerve Entrapment Syndrome Occurring after Endoscopy.
Case Rep Gastroenterol. 2020 Jul 28;14(2):377-382. doi: 10.1159/000508440. eCollection 2020 May-Aug.
6
Anterior cutaneous nerve entrapment syndrome.
BMJ Case Rep. 2019 Dec 2;12(12):e232765. doi: 10.1136/bcr-2019-232765.
8
Anterior Cutaneous Nerve Entrapment Syndrome Possibly Triggered by Oral Contraceptives.
Intern Med. 2019 May 15;58(10):1507-1509. doi: 10.2169/internalmedicine.1361-18. Epub 2019 Feb 1.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验