Korean J Pain.  2015 Oct;28(4):284-286. 10.3344/kjp.2015.28.4.284.

Ultrasound Guided Transversus Abdominis Plane Block for Anterior Cutaneous Nerve Entrapment Syndrome

Affiliations
  • 1Department of Anesthesiology and Pain Management, Citizens Hospital, Hyderabad, Telangana, India. sss.raaj@gmail.com

Abstract

Anterior cutaneous nerve entrapment syndrome (ACNES) is one the most common cause of chronic abdominal wall pain. The syndrome is mostly misdiagnosed, treated wrongly and inadequately. If diagnosed correctly by history, examination and a positive carnett test, the suffering of the patient can be relieved by addressing the cause i.e. local anaesthetic with steroid injection at the entrapment site. Conventionally, the injection is done by landmark technique. In this report, we have described 2 patients who were diagnosed with ACNES who were offered ultrasound guided transverses abdominis plane (TAP) injection who got significant pain relief for a long duration of time.

Keyword

Abdominal pain; Abdominal muscle; Anatomic landmarks; Chronic pain; Diagnosis; Entrapment neuropathy; Nerve block; Ultrasonography

MeSH Terms

Abdominal Muscles
Abdominal Pain
Abdominal Wall
Anatomic Landmarks
Chronic Pain
Diagnosis
Humans
Nerve Block
Nerve Compression Syndromes*
Ultrasonography*

Reference

1. Srinivasan R, Greenbaum DS. Chronic abdominal wall pain: a frequently overlooked problem. Practical approach to diagnosis and management. Am J Gastroenterol. 2002; 97:824–830. PMID: 12003414.
Article
2. Applegate WV. Abdominal cutaneous nerve entrapment syndrome (ACNES): a commonly overlooked cause of abdominal pain. Perm J. 2002; 6:20–27.
3. Soneji N, Peng PW. Ultrasound-guided pain interventions - a review of techniques for peripheral nerves. Korean J Pain. 2013; 26:111–124. PMID: 23614071.
Article
4. Batistaki C, Saranteas T, Adoni A, Kostopanagiotou G. Ultrasound-guided anterior abdominal cutaneous nerve block for the management of bilateral abdominal cutaneous nerve entrapment syndrome (ACNES). Pain Physician. 2013; 16:E799–E801. PMID: 24284862.
5. Restrepo-Garces CE, Asenjo JF, Gomez CM, Jaramillo S, Acosta N, Ramirez LJ, et al. Subcostal transversus abdominis plane phenol injection for abdominal wall cancer pain. Pain Pract. 2014; 14:278–282. PMID: 23560547.
Article
Full Text Links
  • KJP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr