Unusual Path of Branches of Ilioinguinal Nerve: A Clinically Important Anatomic Variant
- Author:
Satheesha BN
;
Srinivasa RS
;
Prakashchandra S
;
Surekha DS
;
Deepthinath R
;
Raghu J
;
Abhinitha P
;
Jyothsna P
- Publication Type:Case Reports
- Keywords:
Ilioinguinal nerve;
aponeurosis;
hernia;
groin;
variation
- From:Journal of Surgical Academia
2014;4(2):59-61
- CountryMalaysia
- Language:English
-
Abstract:
Ilioinguinal nerve is a collateral branch of lumbar plexus. Its anatomical variations in relation to adjacent
musculoaponeurotic structures play a crucial role in the development of neuropathies associated with lower
abdominal surgeries. In this report, we present a rare case of unusual course and branches of the ilioinguinal nerve, in
a 55-year-old male cadaver. In the lateral part of inguinal canal ilioinguinal nerve gave three branches. Two of its
branches pierced the external oblique aponeurosis, about 6 cm above the pubic symphysis, to supply the skin of the
lower part of the anterior abdominal wall. Another branch pierced the conjoint tendon, in the medial part of the
inguinal canal about 2 cm above the superficial inguinal ring. Knowledge of unusual path of these branches may be
important to avoid injuries during the surgical repair of groin hernias. Further care should be taken while dealing
with the conjoint tendon in the Bassini procedure.
- Full text:P020150618330455401819.pdf
