Abdominal cutaneous nerve entrapment syndrome

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Overview

The abdominal cutaneous nerve entrapment syndrome (ACNES) consists of pain caused by entrapment of the abdominal segmental nerves within the rectus abdominis muscle. Intercostal neuralgia appears to be a restricted form of ACNES.

According to one clinician, " Abdominal cutaneous nerve entrapment syndrome (ACNES) may sound like an esoteric condition rarely seen by clinicians but is a common condition. When a patient is seen for abdominal pain without other clinically significant symptoms, ACNES should be high on the list of likely diagnoses." [From Applegate 2002---see reference below.]

References

• William V Applegate, MD, FABFP (2002). "Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES): A Commonly Overlooked Cause of Abdominal Pain". The Permanente Journal. 6 (3).CS1 maint: Multiple names: authors list (link)

• Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES): A Commonly Overlooked Cause of Abdominal Pain By William V Applegate, MD, FABFP

• Roumen R, Scheltinga M (2006). "[Abdominal intercostal neuralgia: a forgotten cause of abdominal pain]". Ned Tijdschr Geneeskd. 150 (35): 1909–15. PMID 16999272.
• Applegate W, Buckwalter N (1997). "Microanatomy of the structures contributing to abdominal cutaneous nerve entrapment syndrome". J Am Board Fam Pract. 10 (5): 329–32. PMID 9297657.

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