腹股沟疝修补术后髂腹下神经损伤所致神经痛：一例报告
Neuralgia due to iliohypogastric nerve injury after inguinal hernioplasty: a case report.
作者信息
Shadhu Kamleshsingh, Ramlagun Dadhija, Chen Simeng, Liu Lijia
机构信息
Department of General Surgery, Jiangsu Province Hospital and The First Affiliated Hospital of Nanjing Medical University, Guangzhou road, 300, Gulou district, Nanjing, Jiangsu, 210029, People's Republic of China.
出版信息
BMC Surg. 2018 Aug 16;18(1):59. doi: 10.1186/s12893-018-0391-6.
BACKGROUND
Neuralgia due to iliohypogastric nerve entrapment from sutures and mesh after inguinal hernioplasty is a rare entity in clinic. Its' awareness and management remain a clinical challenge.
CASE PRESENTATION
We report a case of 54-year-old male who presented with post-operative pain after 1 month and sensory disturbances of the right lower limb. He underwent partial neurectomy and during the surgery it was found that there was injury to iliohypogastric nerve due to entrapment from sutures and mesh.
CONCLUSION
We hope to strengthen awareness about the importance of the identification of iliohypogastric nerve during inguinal hernioplasty.
背景
腹股沟疝修补术后因缝线和补片导致髂腹下神经卡压引起的神经痛在临床上是一种罕见的情况。对其的认识和处理仍然是一项临床挑战。
病例介绍
我们报告一例54岁男性患者，术后1个月出现疼痛及右下肢感觉障碍。他接受了部分神经切除术，术中发现由于缝线和补片的卡压导致髂腹下神经损伤。
结论
我们希望加强对腹股沟疝修补术中识别髂腹下神经重要性的认识。
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