Abstract
IntroductionObturator neuralgia is little known by surgeons and begins as a pain in the groin and medial thigh. MethodA case of obturator neuralgia resulting from nerve compression in a patient with previous surgery (inguinal hernia repair) and athlete is described. The pain had a typical location, with adduction weakness and paresthesias of the thigh in contact with the cold on the inner thigh. ResultThe diagnosis was confirmed by electromyography and local anesthetic blockade. Given the anatomical variability of the nerve and the presence of symptoms of both branches (anterior and posterior) and genitofemoral nerve, a dual approach is designed to explore their journey, both within the pelvis (obturator canal) as well as in the inguinal intermuscular (between aductors). ConclusionWe describe, for the first time, a combined minimally invasive (PET) and anterior approach to ensure a comprehensive assessment of the obturator nerve.
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