{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:54Z","timestamp":1787071554759,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Meralgia paresthetica (MP), a mononeuropathy of the lateral femoral cutaneous nerve (LFCN), presents with dysesthesias in the anterolateral thigh. While often idiopathic, iatrogenic causes are increasingly recognized. We report a rare case of bilateral MP following laparoscopic appendectomy, highlighting its severe impact on quality of life and the need for surgical awareness. A 47-year-old male presented with persistent bilateral thigh numbness, severe pain, and allodynia after laparoscopic appendectomy. He reported significant functional limitations and sleep disturbances. Bilateral MP was diagnosed based on clinical findings and magnetic resonance imaging evidence of inflammation near the LFCN course. This case underscored the atypical presentation of bilateral MP following laparoscopic appendectomy and expands the literature on iatrogenic causes. Clinicians should include MP in the differential diagnosis of postoperative lower limb paresthesia. Surgical awareness of the LFCN vulnerability, coupled with precise trocar placement, could minimize the risk of this potentially debilitating complication.<\/jats:p>","DOI":"10.4103\/ant.ant_113_0012","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T07:00:09Z","timestamp":1759129209000},"page":"170-172","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Unusual Manifestation of Bilateral Meralgia Paresthetica Following Laparoscopic Appendectomy: A Case Report"],"prefix":"10.4103","volume":"34","author":[{"given":"Sunny","family":"Chou","sequence":"first","affiliation":[{"name":"Department of Neurology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poyin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan"},{"name":"Department of Neurology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan"},{"name":"Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan"},{"name":"Department of Neurology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"R1-20260420","first-page":"883","article-title":"Meralgia paresthetica: A review of the literature","volume":"8","author":"Cheatham","year":"2013","journal-title":"Int J Sports Phys Ther"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1007\/s00415-004-0310-x","article-title":"Incidence rates and determinants in meralgia paresthetica in general practice","volume":"251","author":"van Slobbe","year":"2004","journal-title":"J Neurol"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"71454","DOI":"10.52965\/001c.71454","article-title":"Meralgia paresthetica review: Update on presentation, pathophysiology, and treatment","volume":"11","author":"Gomez","year":"2023","journal-title":"Health Psychol Res"},{"key":"R4-20260420","first-page":"002039","article-title":"Meralgia paraesthetica after prone position ventilation in a patient with COVID-19","volume":"7","author":"Marinelli","year":"2020","journal-title":"Eur J Case Rep Intern Med"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1007\/s00464-002-4279-1","article-title":"Meralgia paresthetica as a complication of laparoscopic appendectomy","volume":"17","author":"Polidori","year":"2003","journal-title":"Surg Endosc"},{"key":"R6-20260420","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1097\/00005131-199903000-00009","article-title":"Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery","volume":"13","author":"de Ridder","year":"1999","journal-title":"J Orthop Trauma"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/j.1085-9489.2006.00073.x","article-title":"Bilateral meralgia paresthetica after cesarian section with epidural analgesia","volume":"11","author":"Paul","year":"2006","journal-title":"J Peripher Nerv Syst"},{"key":"R8-20260420","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1186\/1757-1626-1-396","article-title":"Persistent bilateral anterior hip pain in a young adult due to meralgia paresthetica: A case report","volume":"1","author":"Shetty","year":"2008","journal-title":"Cases J"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"122","DOI":"10.5469\/neuroint.2017.12.2.122","article-title":"An unusual case of bilateral meralgia paresthetica following femoral cannulations","volume":"12","author":"Oh","year":"2017","journal-title":"Neurointervention"},{"key":"R10-20260420","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/00002060-200109000-00012","article-title":"Meralgia paresthetica as the presenting feature of chronic appendicitis","volume":"80","author":"Ghavanini","year":"2001","journal-title":"Am J Phys Med Rehabil"},{"key":"R11-20260420","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1080\/1086508X.2005.11079529","article-title":"Nerve conduction studies of the lateral femoral cutaneous nerve. 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