Diagnostic dilemma: think about anterior cutaneous nerve entrapment syndrome (ACNES) in patients with atypical abdominal pain and Crohn's disease. (28th March 2018)

• Record Type: Journal Article
• Authors: Lam, Kenneth; Vasey, Carolyn
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-03-28
• Subjects: pain -- crohn's disease -- general surgery -- peripheral nerve disease; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-224041
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Chronic abdominal pain can be a difficult diagnostic dilemma. Anterior cutaneous nerve entrapment syndrome (ACNES) is a potential differential diagnosis that should be considered because treatment is both easy and effective. We describe the case of a 51-year-old man presenting with 7 months of right lower quadrant abdominal pain on the background of known Crohn's disease. A circumspect surgical approach and multidisciplinary input was key to making the diagnosis of a nerve entrapment syndrome.