Meralgia paresthetica following hemorrhoidectomy in the jack-knife position: A case report.
10.17085/apm.2019.14.1.91
- Author:
Hyeon Jun YANG
1
;
Jun Sung YOO
;
Jin A KIM
;
Yoo KANG
;
Yong Kyung LEE
;
Jin Hye MIN
;
Hyung Rae CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea. callmex@hanmail.net
- Publication Type:Case Report
- Keywords:
Femoral neuropathy;
Hemorrhoidectomy;
Nerve compression syndrome;
Neuralgia;
Prone position
- MeSH:
Diabetes Mellitus;
Diagnosis;
Femoral Neuropathy;
Hemorrhoidectomy*;
Hemorrhoids;
Humans;
Nerve Compression Syndromes;
Neuralgia;
Obesity;
Prone Position;
Risk Factors;
Sensation;
Thigh
- From:Anesthesia and Pain Medicine
2019;14(1):91-94
- CountryRepublic of Korea
- Language:English
-
Abstract:
Meralgia paresthetica (MP) is a neuropathic pain caused by the entrapment of the lateral femoral cutaneous nerve (LFCN). There have been reports of MP following various surgeries; however, it has not yet been reported after hemorrhoid surgery. We report a case of bilateral MP after hemorrhoid surgery in a jack-knife position. The patient presented with pain, tightness, and a tingling sensation in the anterolateral aspect of both thighs. Ultrasonography-guided LFCN block was used for diagnosis and treatment, along with conservative management for 20 days with oral medication. One month later, the patient's symptoms had resolved completely. MP due to the jack-knife position may occur postoperatively in patients with predisposing risk factors such as obesity and diabetes mellitus, despite adequate padding and a shorter operating time.
