The Korean Journal of Pain

  • 제29권3호
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  • Pages.193-196
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  • 2016
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Continuous Ilioinguinal-iliohypogastric Nerve Block for Groin Pain in a Breast-feeding Patient after Cesarean Delivery

  • Kim, Eun Soo (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University) ;
  • Kim, Hae Kyu (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University) ;
  • Baik, Ji Seok (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University) ;
  • Ji, Young Tae (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University)
  • 투고 : 2015.12.03
  • 심사 : 2015.12.28
  • 발행 : 2016.07.01
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초록

Ilioinguinal and iliohypogastric (II/IH) nerve injury is one of the most common nerve injuries following pelvic surgery, especially with the Pfannenstiel incision. We present a case of intractable groin pain, successfully treated with a continuous II/IH nerve block. A 33-year-old woman, following emergency cesarean section due to cephalopelvic disproportion, presented numbness in left inguinal area and severe pain on the labia on the second postoperative day. The pain was burning, lancinating, and exacerbated by standing or movement. However, she didn't want to take additional medicine because of breast-feeding. A diagnostic II/IH nerve block produced a substantial decrease in pain. She underwent a continuous II/IH nerve block with a complete resolution of pain within 3 days. A continuous II/IH nerve block might be a goodoption for II/IH neuropathy with intractable groin pain in breast-feeding mothers without adverse drug reactions in their infants.

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참고문헌

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피인용 문헌

  1. A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes vol.129, pp.1, 2018, https://doi.org/10.1097/aln.0000000000002182