• Hernia · Jun 2018

    Review Historical Article

    Anterior cutaneous nerve entrapment syndrome (ACNES).

    • M R Scheltinga and R M Roumen.
    • Department of Surgery, Máxima Medical Center, De Run 4600, P.O. Box 7777, 5500 MB, Eindhoven/Veldhoven, The Netherlands. m.scheltinga@mmc.nl.
    • Hernia. 2018 Jun 1; 22 (3): 507-516.

    AbstractThe abdominal wall is frequently overlooked as a potential source of chronic abdominal pain. In anterior cutaneous nerve entrapment syndrome (ACNES), irritated intercostal nerves cause severe abdominal pain. Current textbooks fail to acknowledge ACNES. Aim of the present review is to provide detailed information on patient history, physical examination, and a three-step treatment protocol including abdominal wall injections and a localized removal of terminal branches of intercostal nerves.

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