Recurrent anterior cutaneous nerve entrapment syndrome (ACNES) in three consecutive pregnancies
| Autor: | Wilson Jl, Evan Lutz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Adult medicine.medical_specialty medicine.medical_treatment Unusual Association of Diseases/Symptoms 030105 genetics & heredity 03 medical and health sciences 0302 clinical medicine Pregnancy Recurrence medicine Humans Normal Spontaneous Vaginal Delivery Skin business.industry Nerve Compression Syndromes Gestational age General Medicine Rectus sheath Anterior cutaneous nerve entrapment syndrome medicine.disease Surgery Pregnancy Complications medicine.anatomical_structure Nerve block Etiology Gestation Female business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | A 31-year-old G2P1001 woman at a 30-week gestation presented with a recurrence of pinpoint right upper abdominal wall pain. She had been diagnosed with an anterior cutaneous nerve entrapment syndrome (ACNES) during her first pregnancy at a similar gestational age, a well-described but frequently under-recognised entity. The pain during that pregnancy resolved immediately and completely following normal spontaneous vaginal delivery, however,the pain was worse with this presenting pregnancy. She underwent an ultrasound-guided rectus sheath nerve block at 30 weeks with complete and immediate relief for the remainder of the pregnancy. During a third pregnancy, she suffered another recurrence; however, it was less severe than in the prior pregnancies and was managed conservatively. It again resolved completely and immediately with normal spontaneous vaginal delivery. The pattern of ACNES recurrence during the same gestational age in all three pregnancies with total relief following deliveries demonstrates a clear primary mechanical aetiology. |
| Databáze: | OpenAIRE |
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