Successful Treatment of Genitofemoral Neuralgia Using Ultrasound Guided Injection: A Case Report and Short Review of Literature

نویسنده

  • Harsha Shanthanna
چکیده

A young male patient developed chronic, severe, and disabling right sided groin pain following resection of his left testicular cancer. Since there is considerable overlap, ultrasound guided, selective diagnostic nerve blocks were done for ilioinguinal, iliohypogastric, and genitofemoral nerves, to determine the involved nerve territory. It was revealed that genitofemoral neuralgia was the likely cause. As a therapeutic procedure, it was injected with local anesthetic and steroid using ultrasound guidance. The initial injection led to pain relief of 3 months. Subsequent blocks reinforced the existing analgesia and were sufficient to allow for maintenance with the use of analgesic medications. This case report describes the successful use of diagnostic selective nerve blocks for the assessment of groin pain, subsequent to which an ultrasound guided therapeutic injection of genitofemoral nerve led to long term pain relief. As a therapeutic procedure, genitofemoral nerve block is done in patients with genitofemoral neuralgia. Ultrasound allows for controlled administration and greatly enhances the technical ability to perform precise localization and injection. There are very few case reports of such a treatment in the published literature. Apart from the case report, we also highlight the relevant anatomy and a brief review of genitofemoral neuralgia and its treatment.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Ultrasound-guided interventional procedures for patients with chronic pelvic pain - a description of techniques and review of literature.

Chronic pelvic pain can present in various pain syndromes. In particular, interventional procedure plays an important diagnostic and therapeutic role in 3 types of pelvic pain syndromes: pudendal neuralgia, piriformis syndrome, and "border nerve" syndrome (ilioinguinal, iliohypogastric, and genitofemoral nerve neuropathy). The objective of this review is to discuss the ultrasound-guided approac...

متن کامل

Ultrasound-guided induced fetal death, an alternative method for induction of abortion in the bitch

This study was performed to achieve abortion in a short time and with minimum side effects in a bitch, as an alternative method for termination of unwanted pregnancy. The experimentation was performed on 10 privately owned crossbred pregnant bitches, in their late second trimester of pregnancy, having a variable number of fetuses (3 to 9). Fetal death was induced by transabdominal intracardiac ...

متن کامل

Ultrasound-Guided Hydrostatic Reduction of Childhood Intussusceptions Using Water Enema

Conventional hydrostatic barium reduction or pneumatic reduction of intussusception is associated with considerable ionizing radiation. The aim of this study was to evaluate ultrasound-guided hydrostatic reduction for childhood intussusception using water enema. A total of 76 children who diagnosed as having intussusception were referred to Doctor Sheikh Children Hospital in Mashhad (northeast ...

متن کامل

Ultrasound- guided Hydrostatic (Hydrocolonic) Treatment of Meconium Ileus: A Preliminary Report

Background Meconium ileus (MI) is one type intestinal obstruction due to inspissated meconium at the level of the terminal ileum. The purpose of this study is to present the non-ionizing ultrasound-guided approach for the treatment of meconium ileus. Materials and Methods This study was performed, prospectively, at Dr. Sheikh and Akbar children's Hospitals, Mashhad University of Medical Science...

متن کامل

Ultrasound Findings of Appendico-cecal invagination: A Case Report and Literature Review

Introduction Appendicocecal intussusception is an uncommon condition which must be differentiated from other types of invagination due to different therapeutic approaches and its ultrasound findings are outspread and imperfectly presented in literature. We present a cas...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 2014  شماره 

صفحات  -

تاریخ انتشار 2014