Abdominal Wall Pain Differential Diagnoses

From WikiMSK

The following is the differential diagnosis for abdominal wall pain, i.e. suggested by a positive Carnett Sign[1]. These are not in order of frequency as this is unknown.

Differential Diagnosis

  • Hernia
  • Anterior Cutaneous Nerve Entrapment (rectus nerve entrapment)
  • Thoracic Lateral Cutaneous Nerve Entrapment
  • Ilioinguinal and iliohypogastric nerve entrapment
  • Endometriosis (in abdominal wall scar)
  • Diabetic radiculopathy
  • Abdominal wall tear and intra-abdominal wall adhesions
  • Abdominal wall hematoma
  • Spontaneous rectus sheath hematoma
  • Desmoid tumor
  • Herpes zoster
  • Spinal nerve irritation
  • Slipping rib syndrome
  • Idiopathic myofascial pain


  1. โ†‘ Suleiman S, Johnston DE. The abdominal wall: an overlooked source of pain. Am Fam Physician. 2001;64(3):431-438.