[Inguinal pain without inguinal hernia: what could it be?].
A number of unusual conditions was diagnosed in 6 patients with inguinal pain. A 30-year-old man had iliopectineal bursitis on the right as well as a recurrent left inguinal hernia; many years after a Pfannenstiel incision a woman aged 57 harboured an entrapment of the ilioinguinal nerve; a 26-year-old woman suffered from endometriosis in the round ligament; a man aged 65 had compression of the genitofemoral nerve caused by a left iliac aneurysm; a woman aged 38 demonstrated symptoms of an anterior snapping hip; and a man aged 42 had retroperitoneal compression of nerves caused by a sarcoma. All recovered following appropriate treatment. Knowledge of a variety of clinical entities with associated specific anamnesis and physical examination will lead to a correct diagnosis and treatment in most cases of inguinal pain. In instances of compression, imaging techniques may facilitate the diagnostic work-up.
Roumen
R M
RM
Máxima Medisch Centrum, locatie Veldhoven, afd Chirurgie, Postbus 7777, 5500 MB Veldhoven. r.roumen@mmc.nl
Scheltinga
M R
MR
D000328:Adult; D000368:Aged; D002062:Bursitis / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis / Q000473:pathology; D005260:Female; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007264:Inguinal Canal / Q000294:innervation*; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000473:pathology; D010146:Pain / Q000175:diagnosis* / Q000209:etiology*