PMID- 33747695
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210323
IS  - 2169-7574 (Print)
IS  - 2169-7574 (Electronic)
IS  - 2169-7574 (Linking)
VI  - 9
IP  - 3
DP  - 2021 Mar
TI  - Kiteboarding Induced Abdominal Wall Pain: Intercostal Neuroma versus Anterior 
      Cutaneous Nerve Entrapment (ACNES).
PG  - e3487
LID - 10.1097/GOX.0000000000003487 [doi]
LID - e3487
AB  - Abdominal wall pain can be challenging to diagnose and treat, as many etiologies 
      can have similar presentations. Anterior cutaneous nerve entrapment syndrome has 
      been reported to be a significant cause of AWP. Here, we report the case of a 
      patient who was initially diagnosed with anterior cutaneous nerve entrapment 
      syndrome and ultimately found to have intercostal neuromas-in-continuity. The 
      patient was a healthy 36-year-old man who presented with debilitating, chronic 
      abdominal wall pain. The pain began after a time period when the patient was 
      regularly kiteboarding, and it impacted the ability to exercise and perform 
      activities of daily living. The patient had undergone extensive testing and 
      attempted many treatments, including medication, nerve blocks, and anterior 
      cutaneous nerve entrapment syndrome surgery. Examination was significant for 2 
      near-symmetric areas that were persistently tender to palpation in the subcostal 
      abdomen. The patient underwent excision and reconstruction with two 2-cm segments 
      of processed nerve allograft. At 1-year follow-up, the patient reported complete 
      alleviation of the pain, discontinuation of pain medication, and a return to all 
      normal activities. While managing patients with abdominal wall pain, physicians 
      must consider neuroma in their differential diagnoses and be aware of its 
      treatment options, as the patient underwent a substantial delay in treatment. 
      Kiteboarding is a unique mechanism of peripheral nerve injury that has not been 
      previously reported in the literature. This report demonstrates the efficacy of 
      processed nerve allograft in the management of neuromas-in-continuity of the 
      abdominal wall, as well as the importance of being aware of unusual manners of 
      nerve injury.
CI  - Copyright (c) 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf 
      of The American Society of Plastic Surgeons.
FAU - Stoehr, Jenna Rose
AU  - Stoehr JR
AD  - Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Ill.
FAU - Chappell, Ava G
AU  - Chappell AG
AD  - Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Ill.
FAU - Dumanian, Gregory A
AU  - Dumanian GA
AD  - Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Ill.
LA  - eng
PT  - Case Reports
DEP - 20210315
PL  - United States
TA  - Plast Reconstr Surg Glob Open
JT  - Plastic and reconstructive surgery. Global open
JID - 101622231
PMC - PMC7963503
COIS- Disclosure: Dr. Dumanian is a consultant for Checkpoint Surgical, and is the 
      founder of Advanced Suture, Inc. and Mesh Suture, Inc. The other authors have no 
      financial interest to declare in relation to the content of this article. No 
      funding was received for this article.
EDAT- 2021/03/23 06:00
MHDA- 2021/03/23 06:01
PMCR- 2021/03/15
CRDT- 2021/03/22 08:17
PHST- 2020/09/14 00:00 [received]
PHST- 2021/01/21 00:00 [accepted]
PHST- 2021/03/22 08:17 [entrez]
PHST- 2021/03/23 06:00 [pubmed]
PHST- 2021/03/23 06:01 [medline]
PHST- 2021/03/15 00:00 [pmc-release]
AID - 10.1097/GOX.0000000000003487 [doi]
PST - epublish
SO  - Plast Reconstr Surg Glob Open. 2021 Mar 15;9(3):e3487. doi: 
      10.1097/GOX.0000000000003487. eCollection 2021 Mar.