Perforated appendicitis can be associated with a variety of postoperative complications, most notably abscess and wound infection. Perforation of the appendix can cause regional inflammation that affects neighboring tissues and organs. Occasionally, unexpected additional pathology emerges in the postoperative setting. Due to the retroperitoneal nature of the lateral femoral cutaneous nerve of the thigh (LFCN), resulting inflammation can contribute to neuropathy, known as meralgia paresthetica (MP). The findings of MP are suggested by physical examination. This report describes the case of a patient who presented with perforated appendicitis and abscess formation. Symptoms of right anterolateral pain and numbness developed soon after completion of a laparoscopic appendectomy. The patient had a relatively uncomplicated postoperative course but continued to have neuropathic symptoms two weeks after surgery. These symptoms ultimately resolved spontaneously after approximately six weeks.
Dahdouh et al. (Sun,) studied this question.
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