Mayo Clinic surgeons have a problem diagnosing, and correctly treating, the most common cause of abdominal wall pain = ACNES = abdominal cutaneous nerve entrapment syndrome. This is a benign condition, where the nerve becomes 'entrapped, ' or swollen, in anatomic sites where the nerve changes direction.
It commonly - the pain - occurs post-surgery in all abdominal incisions (including Pfannenstiel for childbirth), after extreme muscle exertion or sports, and can occur in children as well as elderly patients. Bariatric surgeons should get educated on this. So if it is wrongly diagnosed, the very young, and the very old, can lose abdominal sensory nerves unnecessarily to Surgical Pathology - as has been happening all too commonly at Mayo Clinic for the last 15 years - as Dr.
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