A 25-year-old woman presented to the office due to right-sided groin pain for the last month. One month ago, the patient had surgery for inguinal hernia repair. Since the surgery, the patient has had recurrent right-sided groin pain which is exacerbated by coughing and physical activity. She has no previous medical or surgical history. On physical examination, she has no motor weakness in the anterior abdominal or lower extremity muscles. Stroking the skin of the upper medial thigh or the skin of the mons pubis elicits pain. She is diagnosed with entrapment of a nerve that traverses the superficial inguinal ring with the spermatic cord. Which of the following nerves is affected in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Hernial repair surgeries may have complications of post-herniorrhaphy neuropathy. It is defined as abdominal or groin pain after hernia repair surgery. It results from the injury of the cutaneous nerve. Ilioinguinal nerve neuropathy presents with pain and allodynia in the labia majora and mons pubis ( base of the penis and anterior scrotum in men) and medial thigh.

A 25-Year-Old Woman Presented to the Office Due to Right-Sided