ACNES syndrome, not all abdominal pain is visceral
Clara García Rodrígueza, Aránzazu Recio Linaresb, Iván Carabaño Aguadoc, Alfonso Barrio Merinob, Enrique Salcedo Lobatoc, Enrique Medina Benítezc
aServicio de Pediatría. Hospital Universitario Fundación Alcorcón. Madrid. España.
bSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Hospital Universitario 12 de Octubre. Madrid. España.
cSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
Correspondence: C García . E-mail: claragr@salud.madrid.org
Reference of this article: García Rodríguez C, Recio Linares A, Carabaño Aguado I, Barrio Merino A, Salcedo Lobato E, Medina Benítez E. ACNES syndrome, not all abdominal pain is visceral. Rev Pediatr Aten Primaria. 2021;23:e17-e21.
Published in Internet: 30-03-2021 - Visits: 24771
Abstract
The anterior cutaneous nerve entrapment syndrome (ACNES) is a type of chronic neuropathic pain felt in the abdominal wall. Initially, its diagnosis is clinical, based on a compatible clinical history and physical examination, with Carnett signs, Pinch test and/or positive dysesthesias. The definitive diagnosis is made through clinical improvement after infiltration with topical anesthetic at the point of maximum pain. This syndrome is frequently overlooked and therefore underdiagnosed, involving an excess of unnecessary and invasive complementary tests.
Keywords
● Abdominal pain
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