Complaint / Review
Mayo Clinic Rochester
John Bundrick MD publish that Mayo Clinic handles the common problem of abdominal cutaneous nerve entrapment syndrome (ACNES) with 2% lidocaine but patients are really being taken to surgery for painful obsolete neure

John Bundrick MD has published the following case in Mayo Clinic Proceedings: CASE 3: A 26-year-old woman presents with right upper quadrant abdominal pain of 18 months' duration that began after an episode of self-limited viral gastroenteritis. She describes it as a sharp, burning discomfort that is well localized and continuous.

This is a case of well-localized abdominal wall pain, with no symptoms of an acute abdomen - where the MD reader is supposed to get that you diagnose non-acute abdominal wall pain with a simple no-brainer maneuver, and thereby reassure the patient without scaring them into an unnecessary procedure. But this is not what really goes on at Mayo Clinic - where patients get railroaded to surgery before John Bundrick ever knows they are there - the surgical option to ACNES = anterior cutaneous nerve entrapment syndrome.