title: Adductor longus tendon rupture mistaken for incarcerated inguinal hernia.
abstract: An incarcerated inguinal hernia is a common diagnosis, since the risk of an inguinal hernia incarcerating or strangulating is around 0.3-3%. An acute rupture of the adductor longus tendon is rarely seen and mostly affects (semi-) professional sportsmen. We present a case of a patient with an assumed incarcerated inguinal hernia which turned out to be a proximal adductor longus tendon rupture. If patients without a history of inguinal hernia present themselves with acute groin pain after suddenly exorotating the upper leg, a rupture of the adductor longus tendon should be considered. Both surgical and non-surgical treatment can be performed.
authors.affiliation: Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
authors.forename: Bas R J
authors.initials: BR
authors.lastname: Aerts
authors.affiliation: Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
authors.forename: Peter W
authors.initials: PW
authors.lastname: Plaisier
authors.affiliation: Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands. Electronic address: t.jakma@asz.nl.
authors.forename: Tijs S C
authors.initials: TS
authors.lastname: Jakma
mesh_terms: D003937:Diagnosis, Differential; D006119:Groin; D006552:Hernia, Inguinal / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D011859:Radiography; D016059:Range of Motion, Articular; D012421:Rupture; D053441:Suture Anchors; D013708:Tendon Injuries / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D016896:Treatment Outcome
keywords: Adductor longus rupture; Differential diagnosis; Inguinal hernia; Treatment