Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The cause of abdominal pain need not necessarily reside in the viscera; the abdominal wall is another source of symptoms. Some causes of abdominal wall pain are obvious, e.g. hernias, but not so others such as nerve entrapment syndromes. This review is concerned with causes of abdominal wall pain which, although common, may be easily overlooked.
 ...
PMID:Abdominal wall pain: an alternative diagnosis. 214 99

Ilionguinal-iliohypogastric nerve entrapment was described as early as 1942 as a rare but proven cause of chronic inguinal pain in patients with previous lower abdominal surgery. We describe two cases of patients who presented to the emergency care unit with complaints of chronic lower abdominal pain. Surgical histories revealed known risk factors for ilioinguinal-iliohypogastric nerve entrapment. After application of a simple bedside procedure, the diagnoses were confirmed.
 ...
PMID:Ilionguinal-iliohypogastric nerve entrapment. 237 78

The case is reported of a patient with a rectus abdominis syndrome. Attention is drawn to the possibility that patients with abdominal pain, in whom no intra-abdominal cause is found, may suffer from this presumed nerve entrapment syndrome. No surgery is required and therapy can be simple.
 ...
PMID:The rectus abdominis syndrome: a case report. 294 25

Patients with a complaint of lower abdominal pain and a history of lower abdominal surgery, particularly inguinal herniorrhaphy, appendectomy, and procedures incorporating a Pfannenstiel incision, should have nerve entrapment considered in the differential diagnosis. Careful history and physical examination in conjunction with selected use of the ilioinguinal-iliohypogastric nerve block can confirm the diagnosis of nerve entrapment and preclude an unnecessary workup of these patients. Of the patients with nerve entrapment, most will experience complete relief of symptoms following serial injections and require no further treatment. The remainder will experience only temporary relief and require surgical interruption of the nerve involved. In those patients who obtain no relief from the nerve block, further workup for a source of their pain is warranted. Most of these patients were found to have a subclinical recurrence of an inguinal hernia.
 ...
PMID:Nerve-entrapment syndromes from lower abdominal surgery. 368 Dec 20

This is a case report of iliohypogastric nerve entrapment following abdominoplasty with plication of the anterior rectus sheath. Persistent lower abdominal pain postoperatively following abdominal surgery despite a negative gastrointestinal and/or gynecologic workup should alert the surgeon to the possibility of iliohypogastric or ilioinguinal nerve entrapment. Diagnosis is confirmed when there are pain and sensory impairment in the distribution of the nerve with relief of pain following nerve block. Treatment consists of neurectomy with proximal resection into the retroperitoneum to avoid painful recurrent neuroma within the ventral abdominal wall. Prevention of injury is best accomplished with thorough understanding of the course of the nerve in the lower abdomen.
 ...
PMID:Iliohypogastric nerve entrapment following abdominoplasty. 827 76

The ilioinguinal-iliohypogastric nerve entrapment syndrome is a recognised cause of, usually chronic, lower abdominal pain. Diagnosis is based upon a typical clinical triad and relief of pain by injection of a local anaesthetic. In the present study we assessed the value of abdominal muscle electromyography in 41 patients with a clinical syndrome suggestive of ilioinguinal-iliohypogastric nerve entrapment. Electromyographic abnormalities were detected in 15 of 25 cases (60%) with definite diagnosis and in 6 of 16 (37%) of those with probable diagnosis of ilioinguinal-iliohypogastric nerve entrapment syndrome. The rather low sensitivity and the clinical value of this technique are discussed.
 ...
PMID:Electromyographic findings in ilioinguinal-iliohypogastric nerve entrapment syndrome. 876 15

Women with prolonged pain in the abdominal wall are often subjected to expensive tests and invasive procedures that do little to clarify the pain's etiology. Cutaneous nerve entrapment syndrome is an easily curable yet frequently overlooked cause of such pain. This article reports the first case of abdominal wall pain caused by cutaneous nerve entrapment in an adolescent and as a complication of oral contraceptive (OC) use. The 15-year-old girl presented to an Israeli medical center with right lower abdominal pain of 3 months' duration. She had commenced use of a combined OC a few days before the onset of pain. Prior to this hospital visit, the adolescent had made three visits to the emergency room for intense abdominal pain, had been examined by 12 specialists, and underwent a battery of tests--all of which produced normal results. When cutaneous nerve entrapment was finally considered as a possible diagnosis, the patient was treated by local infiltration and block of the cutaneous nerves in the abdominal wall--a regimen that produced immediate, complete pain relief. It is speculated that the estrogen or progesterone in the OC caused a redistribution or retention of fluids in the abdominal wall, eventually causing pressure on a cutaneous abdominal nerve in the area of a scar from a previous appendectomy. The teen was able to continue OC use.
 ...
PMID:Abdominal wall pain caused by cutaneous nerve entrapment in an adolescent girl taking oral contraceptive pills. 989 Mar 64

A 21-year-old female patient with chronic abdominal pain was referred to a psychiatric outpatient clinic after gastroenterological and gynaecological pathogeneses had been excluded and a treatment with an antidepressant had had no beneficial effects. The mental state examination, however, revealed no psychopathology whatsoever. The patient was injected with a local anaesthetic loco dolenti which resulted in immediate pain relief. She was diagnosed with abdominal cutaneous nerve entrapment syndrome (ACNES); no psychiatric diagnosis was given.
 ...
PMID:Abdominal cutaneous nerve entrapment syndrome (ACNES) in a patient with a pain syndrome previously assumed to be of psychiatric origin. 1668 84

Four patients, 3 women aged 39, 36 and 58 and a man aged 51, had been experiencing recurring bouts of abdominal pain for periods varying from a few months to years. The pain could be provoked by palpation of a small circumscript area in the lower abdomen. A positive Carnett's sign (pain intensification during palpation while contracting the abdominal muscles by raising the head, whilst lying flat) may aid the diagnosis. An injection ofa local anaesthetic agent confirmed the diagnosis of nerve entrapment and appeared therapeutic in one patient. The other three patients experienced long-term relief following surgical nerve excision. Establishing a diagnosis in patients with abdominal cutaneous nerve entrapment syndrome is often delayed due to physicians being unaware of this condition. Most patients have to undergo numerous investigations including laparoscopies and explorative laparotomies, often to no avail. This syndrome should be considered in patients with chronic abdominal pain syndromes.
 ...
PMID:[Abdominal intercostal neuralgia: a forgotten cause of abdominal pain]. 1699 72

Although abdominal cutaneous nerve entrapment syndrome (ACNES) is accepted as a rare condition, it is a syndrome that should be diagnosed more commonly when the clinical signs cannot explain the cause of abdominal pain. Abdominal pain is commonly considered by physicians to be based on intra-abdominal causes. Consequently, redundant tests and consultations are requested for these patients, and unnecessary surgical procedures may be applied. Patients with this type of pain are consulted to many clinics, and because their definitive diagnoses cannot be achieved, they are assessed as psychiatric patients. Actually, a common cause of abdominal wall pain is nerve entrapment on the lateral edge of the rectus abdominis muscle. In this paper, we would like to share information about the diagnosis and treatment of a patient who, prior to presenting to us, had applied to different clinics for chronic abdominal pain and had undergone many tests and consultations; abdominal surgery was eventually decided.
 ...
PMID:[A commonly seen cause of abdominal pain: abdominal cutaneous nerve entrapment syndrome]. 2286 22


1 2 3 Next >>