Continuous Ilioinguinal-iliohypogastric Nerve Block for Groin Pain in a Breast-feeding Patient after Cesarean Delivery.
10.3344/kjp.2016.29.3.193
- Author:
Eun Soo KIM
1
;
Hae Kyu KIM
;
Ji Seok BAIK
;
Young Tae JI
Author Information
1. Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. hakykim@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Adverse drug reactions;
Breast-feeding;
Groin;
Iliohypogastric;
Ilioinguinal;
Pfannenstiel incision
- MeSH:
Adult;
Burns;
Cephalopelvic Disproportion;
Cesarean Section;
Drug-Related Side Effects and Adverse Reactions;
Emergencies;
Female;
Groin*;
Humans;
Hypesthesia;
Infant;
Mothers;
Nerve Block*;
Pregnancy
- From:The Korean Journal of Pain
2016;29(3):193-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ilioinguinal and iliohypogastric (II/IH) nerve injury is one of the most common nerve injuries following pelvic surgery, especially with the Pfannenstiel incision. We present a case of intractable groin pain, successfully treated with a continuous II/IH nerve block. A 33-year-old woman, following emergency cesarean section due to cephalopelvic disproportion, presented numbness in left inguinal area and severe pain on the labia on the second postoperative day. The pain was burning, lancinating, and exacerbated by standing or movement. However, she didn't want to take additional medicine because of breast-feeding. A diagnostic II/IH nerve block produced a substantial decrease in pain. She underwent a continuous II/IH nerve block with a complete resolution of pain within 3 days. A continuous II/IH nerve block might be a goodoption for II/IH neuropathy with intractable groin pain in breast-feeding mothers without adverse drug reactions in their infants.
