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Vol. 23 - Num. 89

Clinical Reviews in Digestive Diseases

ACNES syndrome, not all abdominal pain is visceral

Clara García Rodrígueza, Aránzazu Recio Linaresa, Iván Carabaño Aguadoa, Alfonso Barrio Merinoa, Enrique Salcedo Lobatoa, Enrique Medina Beníteza

aSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Hospital Universitario 12 de Octubre. Madrid. España.

Correspondence: C García . E-mail:

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: 961


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.


Abdominal pain



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