Abdominal pain

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In medicine, abdominal pain is a "sensation of discomfort, distress, or agony in the abdominal region; generally associated with functional disorders, tissue injuries, or diseases."[1]

Causes

Anterior cutaneous nerve entrapment syndrome

Anterior cutaneous nerve entrapment syndrome is a cause of abdominal pain in which the origin of the pain is actually the abdominal wall.[2][3]

Evaluation

Carnett's test for abdominal wall tenderness[4].

A positive Carnett's test for abdominal wall tenderness may help.[5][4]

One approach is ultrasonography of the abdomen, followed by computed tomography of the abdomen if ultrasonography is negative.[6]

References

  1. Anonymous (2023), Abdominal pain (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Boelens OB, Scheltinga MR, Houterman S, Roumen RM (2011). "Management of anterior cutaneous nerve entrapment syndrome in a cohort of 139 patients.". Ann Surg 254 (6): 1054-8. DOI:10.1097/SLA.0b013e31822d78b8. PMID 21881494. Research Blogging.
  3. Boelens OB, van Assen T, Houterman S, Scheltinga MR, Roumen RM (2013). "A double-blind, randomized, controlled trial on surgery for chronic abdominal pain due to anterior cutaneous nerve entrapment syndrome.". Ann Surg 257 (5): 845-9. DOI:10.1097/SLA.0b013e318285f930. PMID 23470571. Research Blogging.
  4. 4.0 4.1 Takada T, Ikusaka M, Ohira Y, Noda K, Tsukamoto T (2011). "Diagnostic usefulness of Carnett's test in psychogenic abdominal pain.". Intern Med 50 (3): 213-7. PMID 21297322[e]
  5. Thomson WH, Dawes RF, Carter SS (1991). "Abdominal wall tenderness: a useful sign in chronic abdominal pain.". Br J Surg 78 (2): 223-5. PMID 1826626.
  6. Laméris W, van Randen A, van Es HW, van Heesewijk JP, van Ramshorst B, Bouma WH et al. (2009). "Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study.". BMJ 338: b2431. DOI:10.1136/bmj.b2431. PMID 19561056. Research Blogging.