Abstract
We present the case of a 55-year-old female who recurrently consulted with intense pain in the right periumbilical region. The abdominal cutaneous nerve of root T10 was determined as the affected somatosensory structure and the patient was diagnosed with probable neuropathic pain. A complete history revealed umbilical herniorrhaphy procedure performed 2 years previously and that shortly anteceded the onset of pain. Treatment with 5% topical lidocaine relieved more than 50% of the pain.
Highlights
Neuropathic pain is defined as pain arising as a direct consequence of a lesion or disease affecting the somatosensory system [1], with a reported prevalence between 7% and 10% of the general population
We present the case of a patient with chronic neuropathic pain that responded well to therapy after characterizing the affected anatomic structure and determining the underlying etiologic factor
The correct diagnosis of neuropathic pain should be guided by the information in the medical history, the physical examination and the available validated diagnostic questionnaires [8]
Summary
Neuropathic pain is defined as pain arising as a direct consequence of a lesion or disease affecting the somatosensory system [1], with a reported prevalence between 7% and 10% of the general population. The abdominal cutaneous nerve of root T10 was determined as the affected somatosensory structure and the patient was diagnosed with probable neuropathic pain. We discuss the importance of the classification of neuropathic pain and identification of the affected anatomic location with a complete medical history to highlight possible etiologic factors.
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