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Persistent postoperative abdominal pain after colorectal surgery is quite common but in many cases is misdiagnosed and therefore not appropriately treated. In my experience, there have been unfortunate patients subjected to multiple expensive tests such as colonoscopy, CT scan, and MRI of the abdomen (which are almost always normal), and even a negative re-laparotomy, for a diagnosis that can be made clinically and usually treated empirically by a simple injection. Misdiagnosed patients are then ignored, prescribed narcotics, or told that they are mentally ill. To diagnose a condition, you must think about the condition, and we all need to have ACNES in our mental list of differential diagnoses for postoperative abdominal pain [1, 2].

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Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) Is Commonly Underdiagnosed as a Complication of Abdominal Surgery. How Do You Diagnose This Syndrome and How Do You Treat It?

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  • 发表日期：

    2025年

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  • James M. Church

摘要

Persistent postoperative abdominal pain after colorectal surgery is quite common but in many cases is misdiagnosed and therefore not appropriately treated. In my experience, there have been unfortunate patients subjected to multiple expensive tests such as colonoscopy, CT scan, and MRI of the abdomen (which are almost always normal), and even a negative re-laparotomy, for a diagnosis that can be made clinically and usually treated empirically by a simple injection. Misdiagnosed patients are then ignored, prescribed narcotics, or told that they are mentally ill. To diagnose a condition, you must think about the condition, and we all need to have ACNES in our mental list of differential diagnoses for postoperative abdominal pain [1, 2].