TITLE:
Right Inguinal Neuralgia in a Patient Wrongly Operated for a Strangulated Inguinal Hernia Revealing a Microcystic Adnexial Carcinoma
AUTHORS:
Kouassi Jean Marie Maurin Kisito Quenum, Youssouf Sogoba, Armel Hadonou, Faouziath Bobo, Marius Monsia, Djamiou Bio Salifou, Amidou Adjamou, Holden Olatundji Fatigba
KEYWORDS:
Microcystic Adnexial Carcinoma, Inguinal Swelling, Inguinal Hernia
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.15 No.3,
July
29,
2025
ABSTRACT: Post-operative inguinal neuralgia is an exceptional pathology despite the high frequency of surgery in this anatomical region. We report the case of a 62-year-old patient, initially managed for a painful right inguinal tumefaction mistakenly taken for a strangulated inguinal hernia. After hernia repair, the swelling recurred 2 months later, accompanied by intense neuralgic pain. The diagnosis of ilioinguinal nerve ligation was evoked or fibrosis of the surgical scar as a differential diagnosis, followed by corticosteroid infiltration with no pain improvement. The persistence of symptoms required an abdominal and pelvic CT scan, and the patient underwent further surgery, which revealed a tumour. Histology of the resected mass revealed a microcystic adnexal carcinoma. This case illustrates the diagnostic challenges of atypical inguinal swellings.