Diagnostic and Therapeutic Ilioinguinal and Iliohypogastric Nerve Blocks: A Case Report

Author:

Kellegrew Jay1,Hicks Anne12,Gill Lydia3,Chemmanam Isaac12,Mountjoy Ryan12

Affiliation:

1. Department of Anesthesiology & Perioperative Medicine, Maine Medical Center, Portland, Maine

2. Spectrum Healthcare Partners, South Portland, Maine

3. Department of Obstetrics & Gynecology, Maine Medical Center, Portland, Maine.

Abstract

We present a case report of a consult for a gynecologic patient who presented with unrelenting postsurgical pain and previously underwent laparoscopic surgery. Given the pain distribution, we hypothesized the patient had an ilioinguinal or iliohypogastric nerve entrapment injury. We performed a diagnostic and therapeutic ilioinguinal and iliohypogastric nerve block, alleviating the patient’s pain. The patient returned to the operating room to release a fascial stitch, permanently relieving the pain. This is a reminder that anesthesiologists can use regional anesthesia for both diagnosis and treatment.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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