Ultrasound Guided Transversus Abdominis Plane Block for Anterior Cutaneous Nerve Entrapment Syndrome.
Anterior cutaneous nerve entrapment syndrome (ACNES) is one the most common cause of chronic abdominal wall pain. The syndrome is mostly misdiagnosed, treated wrongly and inadequately. If diagnosed correctly by history, examination and a positive carnett test, the suffering of the patient can be relieved by addressing the cause i.e. local anaesthetic with steroid injection at the entrapment site. Conventionally, the injection is done by landmark technique. In this report, we have described 2 patients who were diagnosed with ACNES who were offered ultrasound guided transverses abdominis plane (TAP) injection who got significant pain relief for a long duration of time.
Department of Anesthesiology and Pain Management, Citizens Hospital, Hyderabad, Telangana, India.
Rajendra Kumar
RK
Sahoo
Department of Anesthesiology and Pain Management, Citizens Hospital, Hyderabad, Telangana, India.
Abhijit S
AS
Nair
Abdominal muscle; Abdominal pain; Anatomic landmarks; Chronic pain; Diagnosis; Entrapment neuropathy; Nerve block; Ultrasonography