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Iliohypogastric nerve injury

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The iliohypogastric nerve

  • originates from the L1 nerve root with some contributing fibres from T12
  • nerve divides into anterior and lateral cutaneous branches, supplying an area of skin in the upper buttock, groin and symphysis pubis

Iliohypogastric nerve injury

  • most commonly injured during surgical procedures by direct trauma or scar formation can be injured following a muscle tear or during pregnancy
    • clinical features of iliohypogastric nerve injury are pain or discomfort in the inguinal and suprapubic region
      • hyper- or hypoaesthesia may also be present
    • diagnosis is difficult due to the small area of sensory supply and the overlap between it and the ilioinguinal and genitofemoral nerves
      • infiltration of local anaesthetic can be diagnostic

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