Abdominal cutaneous nerve entrapment syndrome

The abdominal cutaneous nerve entrapment syndrome (ACNES) consists of pain caused by entrapment of the abdominal segmental nerves within the rectus abdominis muscle. Intercostal neuralgia appears to be a restricted form of ACNES.

According to one clinician, ” Abdominal cutaneous nerve entrapment syndrome (ACNES) may sound like an esoteric condition rarely seen by clinicians but is a common condition. When a patient is seen for abdominal pain without other clinically significant symptoms, ACNES should be high on the list of likely diagnoses.” [From Applegate 2002—see reference below.]

• William V Applegate, MD, FABFP (2002). “Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES): A Commonly Overlooked Cause of Abdominal Pain”. The Permanente Journal. 6 (3).CS1 maint: Multiple names: authors list (link)

• Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES): A Commonly Overlooked Cause of Abdominal Pain By William V Applegate, MD, FABFP

• Roumen R, Scheltinga M (2006). “[Abdominal intercostal neuralgia: a forgotten cause of abdominal pain]”. Ned Tijdschr Geneeskd. 150 (35): 1909–15. PMID 16999272.
• Applegate W, Buckwalter N (1997). “Microanatomy of the structures contributing to abdominal cutaneous nerve entrapment syndrome”. J Am Board Fam Pract. 10 (5): 329–32. PMID 9297657.

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