Article Text
Summary
Chronic abdominal pain can be a difficult diagnostic dilemma. Anterior cutaneousnerve entrapment syndrome (ACNES) is a potential differential diagnosis that should be considered because treatment is both easy and effective. We describe the case of a 51-year-old man presenting with 7 months of right lower quadrant abdominal pain on the background of known Crohn’s disease. A circumspect surgical approach and multidisciplinary input was key to making the diagnosis of a nerve entrapment syndrome.
- pain
- crohn’s disease
- general surgery
- peripheral nerve disease
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Footnotes
Contributors KL was involved in the write-up of this case. Data collection for this paper was led by CV, who initiated the pathology and imaging for this patient. CV was also the primary surgeon for the diagnostic laparoscopy described in the case. The analysis and interpretation of the data was completed by CV and the colorectal team. Data collected for the paper was primarily interpreted by CV. The follow-up was completed by KL.
Funding The authors have not declared any specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Ethics approval Human Reasearch Ethics Committee (HREC/17/QGC/369).
Provenance and peer review Not commissioned; externally peer reviewed.