Repeated rectus sheath block for intractable anterior cutaneous nerve entrapment syndrome: a case report

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  • HORIKAWA Hideyo
    Department of Anesthesiology, Graduate School of Medicine and Pharmaceutical Science for Research, University of Toyama
  • HATTORI Mizuki
    Department of Anesthesiology, Graduate School of Medicine and Pharmaceutical Science for Research, University of Toyama
  • ITO Hisakatsu
    Department of Anesthesiology, Graduate School of Medicine and Pharmaceutical Science for Research, University of Toyama
  • TAKEMURA Yoshinori
    Department of Anesthesiology, Graduate School of Medicine and Pharmaceutical Science for Research, University of Toyama
  • YAMAZAKI Mitsuaki
    Department of Anesthesiology, Graduate School of Medicine and Pharmaceutical Science for Research, University of Toyama

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Other Title
  • 難治性前皮神経絞扼症候群に対し繰り返し腹直筋鞘ブロックを行った1例

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<p>A 72-year-old woman who had undergone an ileocecal resection 13 years ago had pain in her scar of abdominal wall for 7 years. At the first examination, she revealed a tender point at the top of her scar; Carnett's sign was present, confirming a diagnosis of anterior cutaneous nerve entrapment syndrome (ACNES). An ultrasound-guided rectus sheath block was performed, resulting in effective pain relief. However, a new tender point was found at the bottom of her scar. She underwent the same procedure, which resulted in temporary pain relief. The procedure was repeated for 20 months. However, the pain relapsed after a short period of relief bought about by nerve blocks. She did not experience a satisfactory reduction in pain, but her quality of life gradually improved.</p>

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