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表现为慢性腹痛的前皮神经卡压综合征

Anterior Cutaneous Nerve Entrapment Syndrome Presenting as Chronic Abdominal Pain.

作者信息

Pratka Holden W, Martinez Mike

机构信息

Anesthesiology, Baylor Scott and White Allsaints, Fort Worth, USA.

出版信息

Cureus. 2024 Dec 1;16(12):e74921. doi: 10.7759/cureus.74921. eCollection 2024 Dec.

Abstract

Abdominal pain is one of the most common chief complaints that patients present with to healthcare facilities across specialties. Unfortunately for clinicians, the differential diagnosis for abdominal pain is vast. Abdominal pain can be broken down into two broad categories: visceral and non-visceral causes. One of the most common causes of non-visceral abdominal pain is anterior cutaneous nerve entrapment syndrome (ACNES). This report describes the case of a formerly active male in his 20s, who has been suffering from chronic abdominal pain for half of his life. Because of the broad differential and the overall lack of familiarity with ACNES, many patients face prolonged suffering and the psychological anguish of uncertainty. This report seeks to illuminate the importance of considering ACNES in a patient with chronic abdominal pain.

摘要

腹痛是患者向各专科医疗机构提出的最常见的主要诉求之一。对临床医生来说不幸的是,腹痛的鉴别诊断范围很广。腹痛可分为两大类:内脏性和非内脏性病因。非内脏性腹痛最常见的病因之一是前皮神经卡压综合征(ACNES)。本报告描述了一名20多岁曾活跃的男性病例,他一生中有一半时间都饱受慢性腹痛之苦。由于鉴别诊断范围广且对ACNES普遍缺乏了解,许多患者面临着长期的痛苦以及不确定性带来的心理折磨。本报告旨在阐明在慢性腹痛患者中考虑ACNES的重要性。

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Anterior cutaneous nerve entrapment syndrome (ACNES).前皮神经卡压综合征(ACNES)。
Hernia. 2018 Jun;22(3):507-516. doi: 10.1007/s10029-017-1710-z. Epub 2017 Dec 21.
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Anterior cutaneous nerve entrapment syndrome: management challenges.前皮神经卡压综合征:管理挑战
J Pain Res. 2017 Jan 13;10:145-156. doi: 10.2147/JPR.S99337. eCollection 2017.
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Psychological aspects of chronic musculoskeletal pain.慢性肌肉骨骼疼痛的心理因素
Best Pract Res Clin Rheumatol. 2015 Feb;29(1):147-55. doi: 10.1016/j.berh.2015.04.027. Epub 2015 May 21.

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