ISSN - 0973-0958

Pediatric Oncall Journal View Article

Anterior Cutaneous Nerve Entrapment Syndrome in an Adolescent male: A Case Report
Iris Jo, Kalai Murthy, Teresa Lemma, Melissa Grageda.
Department of Pediatrics, Richmond University Medical Center, Staten Island, New York.
A 17-year old male presented with abdominal pain for 18 days. Pain started after sustaining blunt trauma to the scrotum while playing basketball. Extensive blood analysis and imaging were normal. Psychosocial history was unremarkable. Two days prior to presenting to our hospital, the severity of the pain worsened over the left upper quadrant. He had one episode of non-bilious, non-bloody, projectile vomiting. Abdominal examination revealed a flat, soft abdomen with normoactive bowel sounds, no rebound tenderness, and no masses. Psoas, obturator and Murphy signs were negative. Carnett and pinch tests were positive. Hyperalgesia was elicited over the entire abdomen. The patient was suspected to have anterior cutaneous nerve entrapment syndrome (ACNES). Trigger point injection therapy with lidocaine confirmed the diagnosis, as this provided complete pain resolution.

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