Diagnosis of Ilioinguinal Nerve Injury Based on Electromyography and Ultrasonography: A Case Report
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Being located in the hypogastric area, the ilioinguinal nerve, together with iliohypogastric nerve, can be damaged during lower abdominal surgeries. Conventionally, the diagnosis of ilioinguinal neuropathy relies on clinical assessments, and standardized diagnostic methods have not been established as of yet. We hereby report the case of young man who presented ilioinguinal neuralgia with symptoms of burning pain in the right groin and scrotum shortly after receiving inguinal herniorrhaphy. To raise the diagnostic certainty, we used a real-time ultrasonography (US) to guide a monopolar electromyography needle to the ilioinguinal nerve, and then performed a motor conduction study. A subsequent US-guided ilioinguinal nerve block resulted in complete resolution of the patient’s neuralgic symptoms.
Abstract
Being located in the hypogastric area, the ilioinguinal nerve, together with iliohypogastric nerve, can be damaged during lower abdominal surgeries. Conventionally, the diagnosis of ilioinguinal neuropathy relies on clinical assessments, and standardized diagnostic methods have not been established as of yet. We hereby report the case of young man who presented ilioinguinal neuralgia with symptoms of burning pain in the right groin and scrotum shortly after receiving inguinal herniorrhaphy. To raise the diagnostic certainty, we used a real-time ultrasonography (US) to guide a monopolar electromyography needle to the ilioinguinal nerve, and then performed a motor conduction study. A subsequent US-guided ilioinguinal nerve block resulted in complete resolution of the patient’s neuralgic symptoms.
참고문헌 (6)
- Rozen WM, "Refining the course of the thoracolumbar nerves: a new understanding of the innervation of the anterior abdominal wall", Clin Anat, 21, pp.325~333 (2008)
- ter Meulen BC, "Acute scrotal pain from idiopathic ilioinguinal neuropathy: diagnosis and treatment with EMG-guided nerve block", Clin Neurol Neurosurg, 109, pp.535~537 (2007)
- Ellis RJ, "Ilioinguinal nerve conduction", Muscle and Nerve, 10, pp.1194~ (1992)
- Karakayali F, "Influence of synthetic mesh on ilioinguinal nerve motor conduction and chronic groin pain after inguinal herniorrhaphy: a prospective randomized clinical study", Int Surg, 92, pp.344~350 (2007)
- Tagliafico A, "Anatomical study of the iliohypogastric, ilioinguinal, and genitofemoral nerves using highresolution ultrasound", Muscle Nerve, 51, pp.42~48 (2015)
- Whiteside JL, "Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions", Am J Obstet Gynecol, 189, pp.1574~1578 (2003)