A 65-year-old diabetic man presents with inguinodynia on the right side lasting for 4 months after an inguinal hernia repair. He complains of continuous dragging pain with episodes of shooting pain along the inguinal region, disturbing his sleep. There are no aggravating or relieving factors.

Physical examination

• No redness, swelling, or warmth in the inguinal area
• Healthy surgical scar
• Normal hip and sacroiliac joint
• Straight leg raise test: Up to 80 degrees on the right side, no sign of disc-related pathology
• FABER test: Negative

Ultrasound findings

The integrity of the ilioinguinal nerve was examined using ultrasound. When scanning the flanks, the ilioinguinal nerve is located between the internal oblique and transversus abdominis muscles.

Diagnosis

The patient was diagnosed with ilioinguinal neuralgia. Ilioinguinal neuralgia often leads to pain in the lower abdomen and upper thigh, typically resulting from entrapment or injury to the nerve following surgeries in the lower abdominal area.

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