Abstract
The ilioinguinal nerve entrapment syndrome is an abdominal muscular pain syndrome, characterized by the clinical triad of muscular type iliac fossa pain with a characteristic radiation pattern, an altered sensory perception in the ilioinguinal nerve cutaneous innervation area, and a well-circumscribed trigger point medial and below the anterosuperior iliac spine. Relief of pain by infiltration of a local anaesthetic confirms the diagnosis. This report describes retrospectively the clinical picture of ilioinguinal nerve entrapment in 32 mainly non-surgical patients. In 14 cases a definite diagnosis was established and in 18 patients the diagnosis was considered probable. The mean delay in diagnosis was 12.8 months. Better knowledge of this syndrome may avoid invasive investigations and be cost saving.
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Selected References
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- Applegate W. V. Abdominal cutaneous nerve entrapment syndrome. Surgery. 1972 Jan;71(1):118–124. [PubMed] [Google Scholar]
- KOPELL H. P., THOMPSON W. A., POSTEL A. H. Entrapment neuropathy of the ilioinguinal nerve. N Engl J Med. 1962 Jan 4;266:16–19. doi: 10.1056/NEJM196201042660105. [DOI] [PubMed] [Google Scholar]
- Kastrup J., Angelo H., Petersen P., Dejgård A., Hilsted J. Treatment of chronic painful diabetic neuropathy with intravenous lidocaine infusion. Br Med J (Clin Res Ed) 1986 Jan 18;292(6514):173–173. doi: 10.1136/bmj.292.6514.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kómár J., Varga B. Syndrome of the rectus abdominis muscle: A peripheral neurological condition causing abdominal diagnostic problems. J Neurol. 1975 Sep 1;210(2):121–125. doi: 10.1007/BF00316383. [DOI] [PubMed] [Google Scholar]
- O'Brien M. D. Genitofemoral neuropathy. Br Med J. 1979 Apr 21;1(6170):1052–1052. doi: 10.1136/bmj.1.6170.1052. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stulz P., Pfeiffer K. M. Peripheral nerve injuries resulting from common surgical procedures in the lower portion of the abdomen. Arch Surg. 1982 Mar;117(3):324–327. doi: 10.1001/archsurg.1982.01380270042009. [DOI] [PubMed] [Google Scholar]
- Swenson M. R., Rothrock J. F. Ilioinguinal neuropathy after iliac crest biopsy. Mayo Clin Proc. 1986 Jul;61(7):604–604. doi: 10.1016/s0025-6196(12)62011-4. [DOI] [PubMed] [Google Scholar]