A Case of Iliohypogastric Nerve Resection to Treat Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) in Chronic Groin Pain for an 8-Year-Old Boy

Lee Kyeong Deok

doi:10.11164/jjsps.53.6_1200

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右鼠径ヘルニアが疑われ紹介され腸骨下腹神経切離によりすみやかに治癒しえたACNES（Anterior Cutaneous Nerve Entrapment Syndrome）の8歳男児の1例
症例報告右鼠径ヘルニアが疑われ紹介され腸骨下腹神経切離によりすみやかに治癒しえたACNES(Anterior Cutaneous Nerve Entrapment Syndrome)の8歳男児の1例
ショウレイホウコクミギソケイヘルニアガウタガワレショウカイサレチョウホネシタハラシンケイセツリニヨリスミヤカニチユシエタ ACNES(Anterior Cutaneous Nerve Entrapment Syndrome)ノ 8サイダンジノ 1レイ

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Abstract

<p>Chronic abdominal wall pain is frequently misdiagnosed as arising from a visceral source, often resulting in inappropriate diagnostic testing, unsatisfactory treatment, and considerable cost. The most common cause appears to be anterior cutaneous nerve entrapment syndrome (ACNES). Carnett’s sign (accentuated localized tenderness with abdominal wall tensing) is a helpful diagnostic sign. We report a case of the prompt and successful treatment of ACNES with iliohypogastric nerve resection. An 8-year-old boy presenting with right chronic groin pain for more than 1 month was suspected of having inguinal hernia by an orthopedic surgeon. He showed tenderness on the right groin area, accompanied by the Carnett sign. Iliohypogastric nerve resection resulted in complete pain relief. Therefore, we diagnosed him as having ACNES originating from the anterior cutaneous branches of the iliohypogastric nerve. ACNES is a relatively unknown cause of abdominal pain; however, the diagnosis and treatment of ACNES are simple. For the clinical care of chronic abdominal pain, a therapist should always consider ACNES. Awareness of ACNES might increase diagnostic accuracy when evaluating patients with chronic abdominal pain.</p>

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Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 53 (6), 1200-1205, 2017

The Japanese Society of Pediatric Surgeons

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