Case ReportsAbdominal wall pain caused by cutaneous nerve entrapment in an adolescent girl taking oral contraceptive pills
Section snippets
Case report
A 15-year-old girl came to the pediatric emergency room because of right lower abdominal pain which had begun 3 months earlier. The pain, which was described as “pressure” pain, was not related to food or meals, but was exacerbated by physical activity and postural changes. The patient complained of sleep disturbance and awakening at night because of the pain, which was partially alleviated by analgesics. Two years earlier, she had undergone an appendectomy. Three months earlier, and only a few
Discussion
This adolescent girl had prolonged abdominal pain caused by cutaneous nerve entrapment in the abdominal wall which began shortly after she started taking oral contraceptive pills. The pain resolved totally after a local subcutaneous nerve block was administered. This etiology of prolonged abdominal pain has never been reported, as far as one can ascertain, in adolescents nor has it been proposed as a complication of oral contraceptives.
Several abdominal wall cutaneous nerve entrapment syndromes
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