Resumo

SOLIS CHAVEZ, Santiago Luis; ANDREUS RODRIGUEZ, Hansel  e  SOLIS ALFONSO, Lesly. Echography in the study of groin pain with no conclusive alterations in the physical examination. Rev Cub Med Mil [online]. 2012, vol.41, n.3, pp. 256-261. ISSN 0138-6557.

Introduction: patients, most of them young, present at Dr. Carlos J. Finlay Central Military Hospital with groin pain without any alterations in the physical examination. Since the source of the pain cannot be determined accurately, it is difficult to indicate an effective treatment. Objective: determine the usefulness of echography in establishing the causes of the pain. Methods: a prospective longitudinal study was conducted with 30 patients presenting with groin pain syndrome. Echography of the groin, crus, cord and scrotum was performed, including its content or vulvar labia majora. Results were compared with those found in surgical interventions or the clinical evolution or those who were not operated on during the three months following the first consultation. Results: mean age was 21.2 with a predominance of the male sex (96.7 %). Echography revealed 29 cases of suspected inguinocrural disease (93.5 %) in which no alterations had been found in the physical examination, and two whose echogram was considered to be normal. Of these, 18 were reported as suspected groin hernia, seven as adenomegaly, two as varicocele, one as a cord cyst and one as a Nuck cyst. All patients with hernias, one with varicocele and two with cysts underwent surgery, and the diagnosis was confirmed. Conclusions: echography constitutes a useful tool when the physical examination does not reveal the cause of groin pain.

Palavras-chave : groin pain; groin hernia; sportsman's hernia; inguinal echography.

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