title: Laparoscopic diagnosis and management of a novel inguino-pelvic hernia.
abstract: Inguinal hernias can typically be diagnosed with a proper history and thorough physical exam. However, patients with chronic groin pain, normal physical exam and no radiologic findings present a diagnostic/therapeutic dilemma [1]. We present a case of a female patient with obscure chronic groin pain. Upon laparoscopic exploration, she was found to have a hernia in a previously non-described location. Reduction of a chronically incarcerated preperitoneal fat and subsequent repair using traditional transabdominal preperitoneal repair resulted in a complete resolution of her pain.
authors.affiliation: Department of Surgery, University of Connecticut Health Center, Farmington, CT, USA.
authors.forename: K
authors.initials: K
authors.lastname: Modeste
authors.forename: Y W
authors.initials: YW
authors.lastname: Novitsky
mesh_terms: D000328:Adult; D059350:Chronic Pain / Q000209:etiology; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D010388:Pelvis