gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLC10.22416/1382-4376-2023-33-5-7-19gastro-j-821Research ArticleОБЗОРЫREVIEWSБоль в передней брюшной стенкеAnterior Abdominal Wall Painhttps://orcid.org/0000-0003-2569-1699ДолгушинаА. И.DolgushinaA. I.

Долгушина Анастасия Ильинична — доктор медицинских наук, доцент, заведующая кафедрой госпитальной терапии

454092, г. Челябинск, ул. Воровского, 64

Anastasia I. Dolgushina — Dr. Sci. (Med.), Docent, Head of the Department of Hospital Therapy

454092, Chelyabinsk, Vorovskogo str., 64

dolgushinaai@yandex.ruhttps://orcid.org/0000-0001-5848-7235КарповаМ. И.KarpovaM. I.

Карпова Мария Ильинична — доктор медицинских наук, доцент, заведующая кафедрой нервных болезней

454092, г. Челябинск, ул. Воровского, 64

Maria I. Karpova — Dr. Sci. (Med.), Docent, Head of the Department of Nervous Diseases

454092, Chelyabinsk, Vorovskogo str., 64

kmi_2008@mail.ruhttps://orcid.org/0009-0004-5432-2133КарповИ. А.KarpovI. A.

Карпов Игорь Александрович — доктор медицинских наук, доцент, профессор кафедры пластической хирургии и косметологии Института дополнительного профессионального образования

454092, г. Челябинск, ул. Воровского, 64

Igor A. Karpov — Dr. Sci. (Med.), Docent, Professor of the Department of Plastic Surgery and Cosmetology of the Institute of Additional Professional Education

454092, Chelyabinsk, Vorovskogo str., 64

ikarpov174@gmail.comhttps://orcid.org/0000-0001-7123-120XНадточийН. Б.NadtochiyN. B.

Надточий Никита Борисович — ассистент кафедры онкологии, лучевой диагностики и лучевой терапии; врач-рентгенолог

454092, г. Челябинск, ул. Воровского, 70

Nikita B. Nadtochiy — Teaching Assistant, Department of Oncology, Radiation Diagnostics and Radiation Therapy; Radiologist

454092, Chelyabinsk, Vorovskogo str., 70

nnb77@bk.ruhttps://orcid.org/0000-0002-3481-8092СаенкоА. А.SaenkoA. A.

Саенко Анна Алексеевна* — ассистент кафедры госпитальной терапии

454092, г. Челябинск, ул. Воровского, 64

Anna A. Saenko — Teaching Assistant, Department of Hospital Therapy

454092, Chelyabinsk, Vorovskogo str., 64

anna-selyanina@mail.ruФГБОУ ВО «Южно-Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации; ГБУЗ «Челябинская областная клиническая больница»РоссияSouth Ural State Medical University; Chelyabinsk Regional Clinical HospitalRussian FederationФГБОУ ВО «Южно-Уральский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSouth Ural State Medical UniversityRussian Federation202301122023335719Copyright © Долгушина А.И., Карпова М.И., Карпов И.А., Надточий Н.Б., Саенко А.А., 20232023Долгушина А.И., Карпова М.И., Карпов И.А., Надточий Н.Б., Саенко А.А.Dolgushina A.I., Karpova M.I., Karpov I.A., Nadtochiy N.B., Saenko A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/821Цель обзора

Цель обзора: представить литературные данные на тему боли в передней брюшной стенке.

Основные положения

Основные положения: Боль в передней брюшной стенке является распространенной причиной абдоминальной боли, которая часто неверно интерпретируется. В данной статье проанализированы современные отечественные и иностранные литературные источники базы данных PubMed, научной электронной библиотеки eLibrary, посвящённые вопросам диагностики и тактики ведения пациентов с различными заболеваниями передней брюшной стенки.

Заключение

Заключение: Знание патогномоничных клинико-инструментальных признаков является основой дифференциального диагноза и выбора стратегии лечения патологии передней брюшной стенки.

Aim

Aim: to present modern approaches to the differential diagnosis and treatment of anterior abdominal wall pain.

Key points

Key points. Pain in the anterior abdominal wall is a common reason for visiting a gastroenterologist and is often misinterpreted. Signs that distinguish it from visceral and parietal pain include local character, a positive Carnett sign and the effectiveness of local anesthetic injection. Among the main causes, it is necessary to highlight diseases that are not accompanied by a palpable mass in the anterior abdominal wall (anterior cutaneous nerve entrapment syndrome, ilioinguinal nerve syndrome, slipping rib syndrome, radiculopathy and myofascial pain syndrome). Another group of causes of pain in the anterior abdominal wall is represented by diseases in which areas of infiltration (tumors, endometriosis, infections) or hernial protrusions are determined, in which radiation methods play an important role in diagnosis.

Conclusion

Conclusion. Knowledge of pathognomonic clinical and instrumental signs is the basis for differential diagnosis and choice of treatment strategy for pathology of the anterior abdominal wall.

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The authors declare that there are no conflicts of interest present.