Prevalence of Anterior Cutaneous Nerve Entrapment Syndrome in a Pediatric Population With Chronic Abdominal Pain
| Autor: | Murid Siawash, Marc R. Scheltinga, Rudi M. H. Roumen, Walther Tjon A. Ten, Jenneke W. A. J. de Jager-Kievit |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Adolescent medicine.medical_treatment Population Physical examination Cohort Studies 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Prevalence Outpatient clinic Humans education Child Glucocorticoids Pain Measurement education.field_of_study medicine.diagnostic_test business.industry Nerve Compression Syndromes Gastroenterology Chronic pain Neurectomy Lidocaine Anterior cutaneous nerve entrapment syndrome medicine.disease Surgery Nerve compression syndrome Abdominal Pain Cross-Sectional Studies Treatment Outcome Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology Female medicine.symptom Chronic Pain business |
| Zdroj: | Journal of pediatric gastroenterology and nutrition. 62(3) |
| ISSN: | 1536-4801 |
| Popis: | Objective Anterior cutaneous nerve entrapment syndrome (ACNES) is a frequently overlooked condition causing chronic abdominal pain (CAP). The objective of the present study was to investigate the rate of ACNES in a pediatric outpatient cohort with CAP. Methods A cross-sectional cohort study was conducted in a population 10 to 18 years of age consulting a pediatric outpatient department with new-onset CAP during a 2 years' time period. All individuals were identified through a standard hospital registration system. History, physical examination, diagnosis, and success of treatment were obtained in patients who were diagnosed as having ACNES. Results Twelve of 95 adolescents with CAP were found to be experiencing ACNES. Carnett sign was positive at the lateral border of the rectus abdominus muscle in all 12. Altered skin sensation was present in 11 of 12 patients with ACNES. Six weeks after treatment (1-3 injections, n = 5; neurectomy, n = 7), pain was absent in 11 patients. Conclusions ACNES is present in 1 of 8 adolescents presenting with CAP to a pediatric outpatient department of a teaching hospital. Simple physical examinational testing allows for the diagnosis. Treatments including nerve blocks or surgery are beneficial in most. |
| Databáze: | OpenAIRE |
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