73 year young lady with 6 months history of right lower abdominal pain. The pain is always there. It is a superficial, burning and stretching pain. It is worse in the afternoon and better in the morning. Nothing helped.
Signs: right lower quadrant pain and tenderness with pressure. This is reproducible.
Diagnosis: right iliohypogastric nerve neuralgia.
Management: right iliohypogastric nerve block - immediate pain relief.