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[Intercostal nerve syndrome].

A Oesch1, K Küpfer, A Bodoky

  • 1Chirurgische Abteilung Regionalspital Emmental, Burgdorf.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|May 3, 2001
PubMed
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Intercostal nerve syndrome, caused by nerve impingement, can lead to abdominal pain and should be considered in differential diagnoses. Surgical resection of the affected nerve typically resolves pain with minimal side effects.

Area of Science:

  • Abdominal Pain Syndromes
  • Nerve Entrapment
  • Surgical Interventions

Background:

  • Intercostal nerve syndrome presents as a cause of acute or chronic abdominal pain.
  • It requires consideration in the differential diagnosis of abdominal pain conditions.
  • Diagnosis can be challenging, often involving diagnostic and therapeutic detours.

Observation:

  • A positive Carnett test and effective local anesthesia at the point of maximal tenderness aid in diagnosis.
  • This retrospective study describes 14 patients with 15 cases of intercostal nerve entrapment syndrome.
  • Patients experienced diagnostic and therapeutic challenges before definitive diagnosis.

Findings:

  • Surgical intervention, specifically resection of the altered nerve at the anterior rectus sheath exit, was performed.

Related Experiment Videos

  • This surgical approach effectively abolished pain in the described cases.
  • The procedure was associated with minimal side effects.

    • Implications:

    • Intercostal nerve syndrome is a treatable cause of abdominal pain.
    • Early and accurate diagnosis through clinical tests and local anesthesia is crucial.
    • Surgical nerve resection offers a definitive and safe treatment option for refractory cases.