Abdominal pain: Difference between revisions
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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."<ref>{{MeSH}}</ref> | 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."<ref>{{MeSH}}</ref> | ||
==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.<ref name="pmid21881494">{{cite journal| author=Boelens OB, Scheltinga MR, Houterman S, Roumen RM| title=Management of anterior cutaneous nerve entrapment syndrome in a cohort of 139 patients. | journal=Ann Surg | year= 2011 | volume= 254 | issue= 6 | pages= 1054-8 | pmid=21881494 | doi=10.1097/SLA.0b013e31822d78b8 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21881494 }} </ref><ref name="pmid23470571">{{cite journal| author=Boelens OB, van Assen T, Houterman S, Scheltinga MR, Roumen RM| title=A double-blind, randomized, controlled trial on surgery for chronic abdominal pain due to anterior cutaneous nerve entrapment syndrome. | journal=Ann Surg | year= 2013 | volume= 257 | issue= 5 | pages= 845-9 | pmid=23470571 | doi=10.1097/SLA.0b013e318285f930 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23470571 }} </ref> | |||
==Evaluation== | ==Evaluation== | ||
{{Image|Carnett's test.jpg|right|350px|Carnett's test for abdominal wall tenderness<ref name="pmid21297322">{{cite journal| author=Takada T, Ikusaka M, Ohira Y, Noda K, Tsukamoto T| title=Diagnostic usefulness of Carnett's test in psychogenic abdominal pain. | journal=Intern Med | year= 2011 | volume= 50 | issue= 3 | pages= 213-7 | pmid=21297322 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21297322 }} </ref>.}} | {{Image|Carnett's test.jpg|right|350px|Carnett's test for abdominal wall tenderness<ref name="pmid21297322">{{cite journal| author=Takada T, Ikusaka M, Ohira Y, Noda K, Tsukamoto T| title=Diagnostic usefulness of Carnett's test in psychogenic abdominal pain. | journal=Intern Med | year= 2011 | volume= 50 | issue= 3 | pages= 213-7 | pmid=21297322 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21297322 }} </ref>.}} | ||
A positive Carnett's test for abdominal wall tenderness may help.<ref name="pmid1826626">{{cite journal| author=Thomson WH, Dawes RF, Carter SS| title=Abdominal wall tenderness: a useful sign in chronic abdominal pain. | journal=Br J Surg | year= 1991 | volume= 78 | issue= 2 | pages= 223-5 | pmid=1826626 }} </ref> | A positive Carnett's test for abdominal wall tenderness may help.<ref name="pmid1826626">{{cite journal| author=Thomson WH, Dawes RF, Carter SS| title=Abdominal wall tenderness: a useful sign in chronic abdominal pain. | journal=Br J Surg | year= 1991 | volume= 78 | issue= 2 | pages= 223-5 | pmid=1826626 }} </ref><ref name="pmid21297322">{{cite journal| author=Takada T, Ikusaka M, Ohira Y, Noda K, Tsukamoto T| title=Diagnostic usefulness of Carnett's test in psychogenic abdominal pain. | journal=Intern Med | year= 2011 | volume= 50 | issue= 3 | pages= 213-7 | pmid=21297322 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21297322 }} </ref> | ||
One approach is [[ultrasonography]] of the abdomen, followed by [[computed tomography]] of the abdomen if ultrasonography is negative.<ref name="pmid19561056">{{cite journal| author=Laméris W, van Randen A, van Es HW, van Heesewijk JP, van Ramshorst B, Bouma WH et al.| title=Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. | journal=BMJ | year= 2009 | volume= 338 | issue= | pages= b2431 | pmid=19561056 | One approach is [[ultrasonography]] of the abdomen, followed by [[computed tomography]] of the abdomen if ultrasonography is negative.<ref name="pmid19561056">{{cite journal| author=Laméris W, van Randen A, van Es HW, van Heesewijk JP, van Ramshorst B, Bouma WH et al.| title=Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. | journal=BMJ | year= 2009 | volume= 338 | issue= | pages= b2431 | pmid=19561056 | ||
Latest revision as of 21:23, 23 May 2013
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
- ↑ Anonymous (2024), Abdominal pain (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ 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.
- ↑ 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.
- ↑ 4.0 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]
- ↑ 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.
- ↑ 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.