Abdominal wall pain: An alternative diagnosis

Gallegos, Nicolas; Hobsley, M

doi:10.1002/bjs.1800771026

Cited by 47 publications

(20 citation statements)

References 14 publications

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“…22 An algorithm for assessing chronic abdominal pain, based on the Carnett sign and infiltration on the trigger points, has been proposed by Gallegos and Hobsley 23 and applied by Greenbaum et al 20 In our study, 66.66% of patients with a positive Carnett sign had thoracic disk herniation between levels C7 to T1 and T12 to L1. Many of the remaining patients are likely to have a condition affecting other levels of the abdominal wall (e.g., anterior nerve entrapment, diabetic or inflammatory radiculopathy) given the high sensitivity and specificity of the positive Carnett sign.…”

Section: Discussionmentioning

confidence: 61%

Thoracic Disk Herniation, a not Infrequent Cause of Chronic Abdominal Pain

Lara¹,

Berges

Quesada³

et al. 2012

International Surgery

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This study assesses the proportion of patients presenting with nonvisceral chronic abdominal pain who have thoracic disk herniation as a possible cause. We designed a descriptive transversal study of patients attending our offices between February 2009 and October 2010, with a complaint of chronic abdominal pain of suspected abdominal wall source (positive Carnett sign). Nuclear magnetic resonance (NMR) of the spinal column was performed on all patients. When the NMR showed thoracic disk herniation the patients were treated according to their etiology. We also evaluated the symptoms in patients with thoracic disk herniation and their response to the applied treatment. Twenty-seven patients with chronic abdominal pain were evaluated. The NMR results in 18 of these 27 patients (66.66%) showed evidence of disk herniation. We report on the results of these 18 patients, emphasizing that the symptoms are florid and varied. Many patients had been previously diagnosed with irritable bowel syndrome. Thoracic disk herniation may account for chronic abdominal pain in many patients who remain undiagnosed or are diagnosed with irritable bowel syndrome. Thus, this possibility needs to be taken into account to achieve a correct diagnosis and a suitable mode of treatment.

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Section: Discussionmentioning

confidence: 61%

Thoracic Disk Herniation, a not Infrequent Cause of Chronic Abdominal Pain

Lara¹,

Berges

Quesada³

et al. 2012

International Surgery

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“…Cyriax was the first to describe abdominal wall pain in 1919 (8). Although there are many published causes of pain originating in the abdominal wall (9–12), it has received little attention in the literature over the past decade and is a frequently overlooked cause of abdominal pain (10,11). Most of the literature describes abdominal pain in the context of the adult population.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the literature describes abdominal pain in the context of the adult population. One of the commonest causes is surgical iatrogenic peripheral nerve injury (9). Where the incision directly involves a cutaneous nerve, subsequent entrapment of that nerve may occur either in a suture or scar tissue.…”

Section: Discussionmentioning

confidence: 99%

Rectus sheath block: successful use in the chronic pain management of pediatric abdominal wall pain

Skinner

Lauder

2007

Pediatric Anesthesia

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Seven pediatric patients (aged 11-16 years) with chronic abdominal wall pain are presented who gained significant relief from a rectus sheath block (RSB). We describe the case histories and review the relevant literature for this technique. The etiology of the abdominal wall pain was considered to be abdominal cutaneous nerve entrapment, iatrogenic peripheral nerve injury, myofascial pain syndrome or was unknown. All patients showed significant initial improvement in pain and quality of life. Three patients required only the RSB to enable them to be pain-free and return to normal schooling and physical activities. Two children received complete relief for more than 1 year. In the majority of cases, the procedure was carried out under general anesthesia as a daycase procedure. Local anesthetic and steroids were used. This is the first report of the successful use of this technique in the chronic pain management setting in children.

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“…Under the rubric of "neuropathic pain" we included a variety of diagnoses, including visceral hyperalgesia, 5 and pain originating from the spine, 11 peripheral nerves, 12,13 abdominal wall, 14,15 or postoperative neuromas. Persistent pain or non-compliance prevented final diagnosis in the remainder.…”

Section: Discussionmentioning

confidence: 99%