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附件囊肿继发股外侧皮神经痛:一例报告

Meralgia Paresthetica Secondary to Adnexa Cyst: A Case Report.

作者信息

Behroozinia Maryam, Sharifian Elham, Khosrawi Saeid

机构信息

Department of Physical Medicine and Rehabilitation Isfahan University of Medical Sciences Isfahan Iran.

出版信息

Clin Case Rep. 2024 Dec 5;12(12):e9673. doi: 10.1002/ccr3.9673. eCollection 2024 Dec.

Abstract

Meralgia paresthetica (MP) is an entrapment syndrome of the lateral femoral cutaneous nerve characterized by tingling, numbness, itching and burning pain, and dysesthesia in anterolateral aspect of thigh. In this case report, we present a 37-year-old non-obese female with 2-month history of progressive pain and tingling on the anterolateral side of right thigh. Clinical features of patient were consistent with MP, which was confirmed via electrodiagnostic study. Subsequent abdominopelvic and transvaginal sonography revealed a mass-like lesion measuring 92 × 61 mm in right adnexa adjacent to the right ovary. Following diagnosis, the patient underwent cystectomy, resulting in immediate resolution of symptoms. This case highlights the importance of comprehensive evaluation in patients presenting with MP symptoms, including consideration of abdominopelvic pathology as a potential contributing factor.

摘要

股外侧皮神经卡压综合征(MP)是一种股外侧皮神经的卡压综合征,其特征为大腿前外侧出现刺痛、麻木、瘙痒、灼痛及感觉异常。在本病例报告中,我们介绍了一名37岁非肥胖女性,她有2个月的右大腿前外侧进行性疼痛和刺痛病史。患者的临床特征与MP相符,经电诊断研究得以证实。随后的腹部盆腔及经阴道超声检查显示,右侧附件区靠近右卵巢处有一个大小为92×61mm的肿块样病变。诊断后,患者接受了囊肿切除术,症状立即得到缓解。本病例强调了对出现MP症状的患者进行全面评估的重要性,包括将腹部盆腔病变视为潜在的促成因素。

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本文引用的文献

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Meralgia paresthetica.股外侧皮神经痛
Handb Clin Neurol. 2024;201:195-201. doi: 10.1016/B978-0-323-90108-6.00013-2.
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Meralgia paresthetica: diagnosis and management strategies.股外侧皮神经痛:诊断与管理策略
Pain Med. 2007 Nov-Dec;8(8):669-77. doi: 10.1111/j.1526-4637.2006.00227.x.

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