A 15-year-old girl is brought to the office for a postoperative check-up. One month ago, she has acute abdominal pain and was diagnosed with acute appendicitis. She had an appendectomy, which went well without complications. A week after the surgery, she started feeling a burning sensation in the surgical incision radiating to the inguinal and suprapubic region. On examination, the surgical scar is healthy without any nodules or drainage, or color changes. The sensation is lost over the right suprapubic area. Which of the following nerves has been injured?

Question

Quizplus · Accepted Answer

Eductional Objective: The iliohypogastric nerve (T12-L1) provides sensation to the suprapubic region. Additionally, it gives motor supply to the transversus abdominis and internal oblique muscles. It is affected in pelvic and abdominal surgeries, which manifests with a burning sensation along the scar to the suprapubic region.

A 15-Year-Old Girl Is Brought to the Office for a Postoperative