Swelling and/or pain in the groin are a common presentation for the abdominal surgeon. Nevertheless, diagnosis of a problem in the groin can still, in some cases, be a difficult clinical dilemma. It is fair to say that the diagnosis of an obvious swelling in the groin is usually straight forward, in terms of a hernia being present or not. However, the traditional inguinoscrotal hernia, where the hernial sac passes down into the scrotum, is a relatively uncommon event. Coupled with the increasing body mass index of the population, it is increasingly common for even a large groin hernia not to result in an obvious groin swelling. In some cases, where there is diagnostic doubt, thinking about several key questions may focus the investigation pathway:
CITATION STYLE
De Beaux, A. C., & Patel, D. (2012). Diagnosis of a lump in the groin in the adult. In Management of Abdominal Hernias (pp. 213–225). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-84882-877-3_13
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