Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report

被引：3

作者：

Yokoyama, Narifumi ^{[1
]}

Shiraki, Ryousuke ^{[1
]}

Watanabe, Takashi ^{[1
]}

Shiinoki, Makiko ^{[2
]}

Nin, Michihiro ^{[2
]}

Shimizu, Taro ^{[2
]}

Yasui-Furukori, Norio ^{[1
]}

Shimoda, Kazutaka ^{[1
]}

机构：

[1] Dokkyo Med Univ, Sch Med, Dept Psychiat, Shimotsuga, Tochigi 3210293, Japan

[2] Dokkyo Med Univ Hosp, Dept Diagnost & Generalist Med, Sch Med, 880 Kitakobayashi, Shimotsuga, Tochigi 3210293, Japan

来源：

BMC PSYCHIATRY | 2019年 / 19卷 / 01期

关键词：

ACNES; SSDs; Differentiating diagnosis; ABDOMINAL-WALL PAIN;

D O I：

10.1186/s12888-019-2390-2

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Somatization is regarded as psychological or emotional distress in the form of physical symptoms that are otherwise medically unexplained. Case presentation: We report a case of a patient with a somatic symptom disorder (SSD) and depression who was later diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES) when Carnett's test was positive and block anesthesia using trigger point injections dramatically improved the symptom of abdominal pain. Conclusion: We concluded that the differentiation of SSDs, such as psychogenic pain, from ACNES is very difficult. Psychiatrists should be aware of this syndrome.

引用

页数：3

共 14 条

[1] APPLEGATE WV, 1972, SURGERY, V71, P118
[2] Misdiagnosis of anterior cutaneous nerve entrapment syndrome as a somatization disorder
Arts, M.
Buis, J.
de Jonge, L.
[J]. EUROPEAN PSYCHIATRY, 2016, 33 : S387 - S388
[3] Somatic Symptom Disorder: An important change in DSM
Dimsdale, Joel E.
Creed, Francis
Escobar, Javier
Sharpe, Michael
Wulsin, Lawson
Barsky, Arthur
Lee, Sing
Irwin, Michael R.
Levenson, James
[J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 2013, 75 (03) : 223 - 228
[4] Abdominal cutaneous nerve entrapment syndrome after blunt abdominal trauma in an 11-year-old girl
Ivens, Delphine
Wojciechowski, Marek
Vaneerdeweg, Wouter
Vercauteren, Marcel
Ramet, Jose
[J]. JOURNAL OF PEDIATRIC SURGERY, 2008, 43 (05) : e19 - e21
[5] Chronic Abdominal Wall Pain A Poorly Recognized Clinical Problem
Koop, Herbert
Koprdova, Simona
Schuermann, Christine
[J]. DEUTSCHES ARZTEBLATT INTERNATIONAL, 2016, 113 (04): : 51 - +
[6] Chronic abdominal wall pain-A diagnostic challenge for the surgeon
Lindsetmo, Rolv-Ole
Stulberg, Jonah
[J]. AMERICAN JOURNAL OF SURGERY, 2009, 198 (01) : 129 - 134
[7] Abdominal wall pain caused by cutaneous nerve entrapment in an adolescent girl taking oral contraceptive pills
Peleg, R
[J]. JOURNAL OF ADOLESCENT HEALTH, 1999, 24 (01) : 45 - 47
[8] Surgery for refractory anterior cutaneous nerve entrapment syndrome (ACNES) in children
Scheltinga, Marc R.
Boelens, Oliver B.
Ten, Walther E. Tjon A.
Roumen, Rudi M.
[J]. JOURNAL OF PEDIATRIC SURGERY, 2011, 46 (04) : 699 - 703
[9] Rectus sheath block: successful use in the chronic pain management of pediatric abdominal wall pain
Skinner, Adam V.
Lauder, Gillian R.
[J]. PEDIATRIC ANESTHESIA, 2007, 17 (12) : 1203 - 1211
[10] Anterior cutaneous nerve entrapment syndrome with pain present only during Carnett's sign testing: A case report
Tanizaki R.
Takemura Y.
[J]. BMC Research Notes, 10 (1)

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