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Abdominal cutaneous nerve entrapment syndrome
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).
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.
| Digestive system - Gastroenterology (primarily K20-K93, 530-579) |
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| Esophagus | Esophagitis - GERD - Achalasia - Boerhaave syndrome - Nutcracker esophagus - Zenker's diverticulum - Mallory-Weiss syndrome - Barrett's esophagus |
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Stomach/
duodenum | Peptic (gastric/duodenal) ulcer - Gastritis - Gastroenteritis - Duodenitis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy |
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| Hernia | Inguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus |
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| Noninfective enteritis and colitis | IBD (Crohn's, Ulcerative colitis) - noninfective gastroenteritis |
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| Other intestinal | vascular (Abdominal angina, Mesenteric ischemia, Ischemic colitis, Angiodysplasia) - Ileus/Bowel obstruction (Intussusception, Volvulus) - Diverticulitis/Diverticulosis - IBS
other functional intestinal disorders (Constipation, Diarrhea, Megacolon/Toxic megacolon, Proctalgia fugax) - Anal fissure/Anal fistula - Anal abscess - Rectal prolapse - Proctitis (Radiation proctitis) |
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| Liver/hepatitis | Alcoholic liver disease - Liver failure (Acute liver failure) - Cirrhosis - PBC - NASH - Fatty liver - Peliosis hepatis - Portal hypertension - Hepatorenal syndrome |
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| Accessory digestive | Gallbladder (Gallstones, Choledocholithiasis, Cholecystitis, Cholesterolosis, Rokitansky-Aschoff sinuses)
Biliary tree (Cholangitis, Cholestasis/Mirizzi's syndrome, PSC, Biliary fistula, Ascending cholangitis)
Pancreas (Acute pancreatitis, Chronic pancreatitis, Pancreatic pseudocyst, Hereditary pancreatitis) |
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| Other/general | Appendicitis - Peritonitis (Spontaneous bacterial peritonitis)
Malabsorption (celiac, Tropical sprue, Blind loop syndrome, Whipple's)
postprocedural: Gastric dumping syndrome - Postcholecystectomy syndrome
bleeding: Hematemesis - Melena - Gastrointestinal bleeding (Upper, Lower) |
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| See also congenital |
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Abdominal_cutaneous_nerve_entrapment_syndrome". A list of authors is available in Wikipedia.
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