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Abdominal pain related to pathology of peripheral nervous system

[Review]
Vladimir Nechayev; Igor Damulin; Sergey Baranov; Yulia Shulpekova; Elena Baranskaya; Irina Popova; Nadejda Makeeva; Svetlana Kardasheva;

The article revises the most prevalent types of abdominal pain related to peripheral nervous system pathology. In 2–5 % of cases chronic abdominal pain originates from abdominal wall and could be misdiagnosed as a feature of functional gastrointestinal disease. Pain coming from the abdominal wall may be a manifestation of neuropathic processes such as anterior cutaneous nerve entrapment syndrome and sliding rib syndrome. Abdominal pain may be a symptom of discogenic and posttraumatic lower thoracic radiculopathy, diabetic neuropathy, porphyria, lead intoxication, peripheral sensory neuropathy, postherpetic neuropathy. In some cases, sensitive disorders can be combined with segmental paresis of the abdominal muscles and a violation of the vegetative regulation of the internal organs (up to intestinal pseudo-obstruction), which makes diagnosis difficult. Local anesthesia, non-narcotic analgesics, anticonvulsants, tricyclic antidepressants and serotonin and norepinephrine reuptake inhibitors may be used in the treatment of neuropathic pain according to circumstances.

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Keywords: abdominal pain, neuropathic pain, anterior cutaneous nerve entrapment syndrome, «slipping rib syndrome», thoracic radiculopathy, autonomic neuropathy, diabetic radiculopathy, postherpetic neuropathy


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy