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Diagnostic and Therapeutic Ilioinguinal and Iliohypogastric Nerve Blocks: A Case Report
Jay Kellegrew1, Anne Hicks1,2, Lydia Gill3
1From the Department of Anesthesiology & Perioperative Medicine, 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.
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