Ilioinguinal, Iliohypogastric, and Quadratus Lumborum Blocks for the Treatment of Chronic Pelvic Pain from Endometriosis: A Case Report

Mehta N, Nimesha Mehta, Kim MJ, Min J Kim, Min Jung Kim, Johnny Phuong Tran, Johnny P Tran
A&A practice · 2025 · vol. 19(7) , pp. e02020 · doi:10.1213/xaa.0000000000002020 · PMID:40658111 · W4412396448
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report details the successful management of chronic pelvic pain from endometriosis in a young female using ilioinguinal, iliohypogastric, and quadratus lumborum nerve blocks.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-17 · read from full text ⓘ

This case report describes a young female patient with chronic pelvic pain resulting from stage 4 endometriosis who was successfully treated using abdominal peripheral nerve blocks. The authors highlight that ilioinguinal, iliohypogastric, and quadratus lumborum blocks served as an effective intervention for managing her persistent symptoms after other standard treatments failed to provide adequate relief. This presentation underscores the potential utility of acute pain interventions in addressing chronic pain conditions that are resistant to conventional therapies such as physical therapy or medication. This paper is centrally about endometriosis — specifically the management of chronic pelvic pain associated with deep infiltrating disease through targeted nerve block procedures.

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Abstract

Chronic pelvic pain affects a large percentage of women and treatment options are commonly limited to physical therapy, medications, and surgery. Many women continue to have pain which limits their daily function despite these treatment options. Nerve blocks may be underused in treatment. We describe a case of a young female with chronic pelvic pain secondary to stage 4 endometriosis successfully managed with abdominal peripheral nerve blocks. This highlights the potential for another treatment modality for chronic pelvic pain utilizing acute pain interventions in the chronic pain setting.
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Case Report Ilioinguinal, Iliohypogastric, and Quadratus Lumborum Blocks for the Treatment of Chronic Pelvic Pain from Endometriosis: A Case Report - Nimesha Mehta1 - Min J. Kim1 - Johnny P. Tran2 Chronic pelvic pain affects a large percentage of women and treatment options are commonly limited to physical therapy, medications, and surgery. Many women continue to have pain which limits their daily function despite these treatment options. Nerve blocks may be underused in treatment. We describe a case of a young female with chronic pelvic pain secondary to stage 4 endometriosis successfully managed with abdominal peripheral nerve blocks. This highlights the potential for another treatment modality for chronic pelvic pain utilizing acute pain interventions in the chronic pain setting. Copyright © 2025 International Anesthesia Research Society.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

References (11)

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License: CC0 · commercial use OK