Document Type

Clinical Case Reports

Date of Poster


Date of Submission

May 2020


Chronic pelvic and lower abdominal pain can be a severely debilitating condition that affects between 7% to 24% of the general population (4). The anterior rami of L1 and T12 give contributions to the ilioinguinal and iliohypogastric nerves which provide sensory innervation to the lower abdomen and pubic regions (3). Entrapment or damage of these nerves can occur due to a variety of mechanisms, and common treatment options have included medications (2), nerve blocks (1), and in rare cases, surgical resection of the involved nerve. In this case, a 47 year old morbidly obese female with history of chronic left sided lower abdominal and flank pain about 7 months after undergoing Roux-en-Y gastric bypass surgery was successfully treated with peripheral nerve stimulation lead implantation remote from the iliohypogastric and ilioinguinal nerves. The leads were removed after 60 days and resulted in complete resolution of pain. For this reason, we believe peripheral nerve stimulation should be considered as a modality for relief of iliohypogastric/ilioinguinal neuralgia.


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VCU School of Medicine GME Resident and Fellow Research Day Posters