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Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall. [1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
In anatomy, the abdominal wall represents the boundaries of the abdominal cavity.The abdominal wall is split into the anterolateral and posterior walls. [1]There is a common set of layers covering and forming all the walls: the deepest being the visceral peritoneum, which covers many of the abdominal organs (most of the large and small intestines, for example), and the parietal peritoneum ...
The anterior divisions of the seventh, eighth, ninth, tenth, and eleventh thoracic intercostal nerves are continued anteriorly from the intercostal spaces into the abdominal wall; hence they are named thoraco-abdominal nerves (or thoracicoabdominal intercostal nerves).
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia. In males with strong presentation of the cremasteric reflex , the testes can—during supine sexual activity or manual manipulation—partially or fully retract into the ...
Abdominal muscles cover the anterior and lateral abdominal region and meet at the anterior midline. These muscles of the anterolateral abdominal wall can be divided into four groups: the external obliques , the internal obliques , the transversus abdominis , and the rectus abdominis .
The lateral border of the rectus sheath is part of the recently described EIT ambivium to more precisely describe this important part of the anterior abdominal wall. [1] The EIT ambivium is formed by the Musculus Obliquus Externus (MO E ), the Musculus Obliquus Internus (MO I ) and the Musculus Transversus Abdominis ( T A).
“A bleeding puncture site in the left upper abdomen with an underlying puncture of the abdominal wall.” A “penetrating wound into the liver” measured 6.5 centimeters (about 2.56 inches).
The external oblique functions to pull the chest downwards and compress the abdominal cavity, which increases the intra-abdominal pressure as in a Valsalva maneuver.It also performs ipsilateral (same side) side-bending and contralateral (opposite side) rotation: the right external oblique would side-bend to the right and rotate to the left, and vice versa.