Inguinal Pain: Causes & Reasons

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Possible Causes for Inguinal Pain

Indirect Inguinal Hernia

(VAS) and Inguinal Pain Questionnaire (IPQ). [ncbi.nlm.nih.gov]

Pain and features of intestinal obstruction are signs of a complicated inguinal hernia (obstructed/strangulated hernia). Diagnosis is mainly based on clinical findings. [amboss.com]

Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. [en.wikipedia.org]

Direct Inguinal Hernia

Abstract Athlete's hernia (AH) is an activity limiting condition that presents as chronic inguinal pain in elite athletes. [ncbi.nlm.nih.gov]

Pain and features of intestinal obstruction are signs of a complicated inguinal hernia (obstructed/strangulated hernia). Diagnosis is mainly based on clinical findings. [amboss.com]

Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. [en.wikipedia.org]

Hernia

The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, [dx.doi.org]

Sportsmans Hernias A Sportsmans Hernia is a condition of chronic exercise-related supra-inguinal groin pain. Generally it involves a direct inguinal hernia. [herniaclinic.co.nz]

Keywords inguinal hernia techniques chronic pain recurrences robotic techniques Lichtenstein repair sutureless repair biologic mesh synthetic mesh robotic surgery minimally [dx.doi.org]

Ilioinguinal Nerve Entrapment

A review of chronic pain after inguinal herniorrhaphy. Clin J Pain. 2003;19(1):48–54. [link.springer.com]

Neuropathic pain in CPIP is thought to arise from damage or trauma to the inguinal nerves. [dovepress.com]

Fifty-one athletes treated surgically for inguinal-related groin pain from 2009 to 2015. [read.qxmd.com]

Osteitis Pubis

He was admitted for inguinal pain, gait disturbance, and high fever (40.6°C). [ncbi.nlm.nih.gov]

Management of severe lower abdominal or inguinal pain in high-performance athletes. PAIN (Performing Athletes with Abdominal or Inguinal Neuromuscular Pain Study Group). [scottsdalesportsmedicine.com]

The pain increases after the training session. Stage III comprises bilateral inguinal pain involving the adductor muscles and abdominal symptoms. [ncbi.nlm.nih.gov]

Lymphogranuloma Venereum

A 33-year-old woman presented with a two-day history of left inguinal pain and a palpable "knot." [ncbi.nlm.nih.gov]

Secondary (inguinal): painful inguinal lymphadenopathy (bubo), usually unilateral, with abscess formation and rupture in 1/3 of cases. [auanet.org]

She was suspected of having an incarcerated inguinal hernia but instead was found to have lymphogranuloma venereum. [ncbi.nlm.nih.gov]

Richter's Inguinal Hernia

Case 2 A 29-year-old male presented with a week history of a right inguinal pain. [ijcasereportsandimages.com]

[…] with sudden onset of left-sided acute abdominal pain and vomiting for 1 day. [scopemed.org]

CASE SERIES Case 1 A 24-year-old female presented with a three-day history of a painful, non-reducible right inguinal swelling without any sign of bowel obstruction. [ijcasereportsandimages.com]

Incarcerated Hernia

Groin pain associated with ultrasound findings of inguinal canal posterior wall deficiency in Australian Rules footballers. [ajronline.org]

In the left inguinal area, there was a painful mass, compatible with incarcerated inguinal hernia. [elsevier.es]

Your doctor is likely to recommend surgery to fix an inguinal hernia that's painful or enlarging. Inguinal hernia repair is a common surgical procedure. [mayoclinic.org]

Chancroid

(A) The eroded purulent ulcer of chancroid is painful and may be associated with painful inguinal adenitis. [5minuteconsult.com]

Definition / general Sexually transmitted disease caused by Haemophilus ducreyi which produces a painful genital ulcer and inguinal adenopathy Terminology Dwarf chancroid: [pathologyoutlines.com]

[…] with a grayish necrotic base Painful inguinal lymphadenopathy An asymptomatic course is more likely in women. [amboss.com]

Femoral Hernia

BACKGROUND: Chronic pain has become a very important outcome in quality assessment of inguinal hernia surgery. [ncbi.nlm.nih.gov]

Hernia Recurrence and Pain 317 Recurrence and Mesh Material 320 Mesh Explantation in the Groin 327 The Mesh and the Spermatic Cord 333 Principle Actions for ReRecurrences [books.google.com]

In all cases of abdominal pain the groin should be examined to exclude inguinal and femoral hernias. [hernia.net.au]

Psoas Abscess

Other signs and symptoms may include flank pain, abdominal pain, anorexia, nausea, weight loss, malaise, and inguinal mass. Pain may radiate to the hip and upper thigh. [visualdx.com]

and psoas spasm Pain in the flank, groin, or anterior thigh Malaise, weight loss, nausea Loss of appetite or other GI upset Antalgic gait Palpable, tender mass in inguinal [pelvicpaindifferentiation.weebly.com]

Psoas abscess is characterized by pus collection and inflammation within the muscle compartment, presenting the hallmark findings of lower back pain, limp, and spiking fever [visualdx.com]

Obturator Hernia

Contrary to what one might believe, and unlike usual inguinal hernia, the pubic inguinal pain syndrome does not show any visible swelling in the inguinal canal. [youcoach.it]

Obturator hernia as a cause of chronic pain after inguinal hernioplasty: elective management using tomography and ambulatory total extraperitoneally laparoscopy. [casereports.in]

In addition, some athletic individuals may have painful reactive inguinal or femoral lymph nodes as a consequence of repeated trauma. [emedicine.medscape.com]

Testicular Abscess

[…] testicle include pain with an inguinal mass and empty hemiscrotum.[22] Patients may also complain of abdominal pain but will have a benign abdominal exam. [ispub.com]

Fig. 5 Inguinal hernia resulting in acute scrotal pain. a Longitudinal US image of the right inguinal canal in a 39-year-old with right scrotal pain shows an elongated heterogeneous [criticalultrasoundjournal.springeropen.com]

Other conditions, like kidney and ureteral stones, infections, and inguinal hernias can also cause pain that can be felt in or around the testicles and scrotum. [beaumont.org]

Epididymitis

Diagnosis and surgical management of male pelvic, inguinal, and testicular pain. Surgical Clinics of North America. 2016;96:593. Rottenstreich M, et al. [mayoclinic.org]

The physician needs to be aware that an embarrassed child may state that he has lower abdominal or inguinal pain rather than scrotal pain. [aafp.org]

References:[1][3][4] Differential diagnoses See differential diagnosis of scrotal pain. [amboss.com]

Acute Epididymitis

Diagnosis and surgical management of male pelvic, inguinal, and testicular pain. Surgical Clinics of North America. 2016;96:593. Rottenstreich M, et al. [mayoclinic.org]

(inguinal nodes) - Pain or discomfort in the lower abdomen or pelvic area - Discharge from the penis - Blood in the semen Chronic epididymitis Signs and symptoms of epididymitis [drleetcmclinic.com]

References:[1][3][4] Differential diagnoses See differential diagnosis of scrotal pain. [amboss.com]

Endometriosis

It usually presents as a painful, typically right-sided, hernia-like inguinal mass with catamenial exacerbation. [jcytol.org]

[…] with cycles of diarrhea and constipation Bloating, nausea, and vomiting Inguinal pain Pain on micturition and/or urinary frequency Pain during exercise Because most endometriotic [emedicine.medscape.com]

[…] of a painful, typically right-sided, hernia-like inguinal mass with exacerbation of pain and tenderness in the lump during menstruation (catamenial exacerbation) in some [jcytol.org]

Varicocele

We describe a case of a young fighter-jet pilot presenting with a painful inguinal hematoma extending to the scrotum a day after participating in centrifuge training. [ncbi.nlm.nih.gov]

Microscopic sub-inguinal varicocelectomy offers the best results for pain resolution. [ncbi.nlm.nih.gov]

Leading symptoms in both diseases are complaints and dragging pain in the inguinal region radiating into the testis. [ncbi.nlm.nih.gov]

Urinary Tract Infection

Examination findings may include the following: Fever Tachycardia Flank pain/costovertebral angle tenderness Abdominal tenderness in the suprapubic area Scrotal hematoma, [emedicine.com]

[…] hydrocele, masses, or tenderness Penile meatal discharge Prostatic tenderness Inguinal adenopathy Laboratory testing The workup of male UTI is dependent on the suspected diagnosis [emedicine.com]

Ovarian Cyst

Majority of the ovarian cysts are asymptomatic or present with vague lower abdominal pain, whereas the presentation of a large ovarian cyst as an inguinolabial swelling as [ncbi.nlm.nih.gov]

[…] unusual contents of a hernia sac include ovary, fallopian tube, vermiform appendix, Meckel diverticulum, and urinary bladder, the herniation of a large ovarian cyst into the inguinal [ncbi.nlm.nih.gov]

Nephrolithiasis

A Caucasian man aged 25 years had sudden bilateral inguinal and occasional periumbilical pain. [ncbi.nlm.nih.gov]

Paroxysmal and severe flank pain radiating to the inguinal area. It is caused by the passage of a kidney stone through the ureter. [icd10data.com]

It is often associated with nausea, vomiting, fever, restlessness, dull pain, frequent urination, and hematuria. [icd10data.com]

Appendicitis

McBurney sign) pelvic pain, diarrhea and tenesmus (pelvic appendix) flank pain (retrocecal appendix) groin pain - appendix within an inguinal hernia (Amyand hernia) or a femoral [radiopaedia.org]

McBurney sign ) pelvic pain, diarrhea and tenesmus (pelvic appendix) flank pain (retrocaecal appendix) groin pain - appendix within an inguinal hernia ( Amyand hernia ) or [radiopaedia.org]

McBurney sign ) pelvic pain, diarrhea and tenesmus (pelvic appendix) flank pain (retrocecal appendix) groin pain - appendix within an inguinal hernia ( Amyand hernia ) or [radiopaedia.org]

Avascular Necrosis of the Femoral Head

Pubis Inguinal-related Groin Pain Inguinal hernia Sportsman's hernia Iliopsoas-related Groin Pain Hip Flexor Strain Other Muscle-related Pain Piriformis Syndrome Muscle Pain [physioworks.com.au]

Gluteal Tendinopathy Greater Trochanteric Pain Syndrome Trochanteric Bursitis Adductor-related Groin Pain Adductor Tendinopathy Groin Strain Pubic-related Groin Pain Osteitis [physioworks.com.au]

Tear Hip Pointer Femoroacetabular Impingement - FAI Perthes Disease Slipped Femoral Capital Epiphysis Stress Fracture Avascular Necrosis of the Femoral Head Lateral Hip Pain [physioworks.com.au]

Hip Fracture

Tenderness to palpation around the inguinal area, over the femoral neck. This area may also be swollen. [physio-pedia.com]

[…] following: limited and painful hip range of motion, especially in internal rotation. the injured leg is shortened, externally rotated, and abducted in the supine position Pain [physio-pedia.com]

Increased pain on the extremes of hip rotation, an abduction lurch, and an inability to stand on the involved leg For more on Hip examination, click www.physio-pedia.com/Hip_Examination [physio-pedia.com]

Malignant Neoplasm of the Testis

Evaluation of palpable inguinal, intrascrotal, or testicular masses. Evaluation of scrotal asymmetry, swelling, or enlargement. [emedicine.medscape.com]

Indications include the following [10] : Evaluation of scrotal pain, including but not limited to testicular trauma, ischemia/torsion, and infectious or inflammatory scrotal [emedicine.medscape.com]

Retroperitoneal Hemorrhage

In our patients, the symptoms were generally appeared as an acute onset with slow progression and persistent pain in inguinal, lower abdominal quadrant, or lumbar region radiating [omicsonline.org]

Signs of RP bleeding include new severe back and groin pain, emerging bruising over the abdomen or flank with blood tracking into the inguinal soft tissues, low BP, and increasing [cathlabdigest.com]

Inguinal tenderness and swelling following the femoral approach are noted as being present in a majority of retroperitoneal hematoma cases in one study. [ncbi.nlm.nih.gov]

Hip Dislocation

Common signs include fever, dysuria, widespread ulceration, inguinal lymphadenopathy, malaise and pain. [mja.com.au]

Painful vesicles, ulcers, redness and swelling last for 2 to 3 weeks, if untreated, and are often accompanied by fever and tender inguinal lymphadenopathy. [dermnetnz.org]

Liposarcoma

Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics 2001; 21: 261- 271. 2. [edoj.org.eg]

Masses and pain in the groin: a review of imaging findings. Eur Radiol 1998; 8: 911- 921. 3. Henricks WH, Chu YC, Goldblum JR, Weiss SW. [edoj.org.eg]

Granuloma Inguinale

[…] lymphadenopathy, darkfield positive – Chancroid—more typically painful and often with inguinal lymphadenopathy – Genital warts (human papillomavirus)—rarely bleed, can be [clinicaladvisor.com]

[…] lymphadenopathy, darkfield positive - Chancroid—more typically painful and often with inguinal lymphadenopathy - Genital warts (human papillomavirus)—rarely bleed, can be [dermatologyadvisor.com]

The lesions are usually painless, but in atypical variants of the disease, there may be mild pain. [visualdx.com]

Urethral Syndrome

inguinal (28%). [ncbi.nlm.nih.gov]

Of the sexually active men and women, 71% with clinical IC and 59% with urethral syndrome reported pain associated with intercourse. [ncbi.nlm.nih.gov]

Patients with clinical IC reported the pain as dysuria (58%), urethral/vaginal (76%), above the pubic bone (53%), lower abdomen (47%), lower back (35%), vaginal (51%), and [ncbi.nlm.nih.gov]

Vaginitis

Vaginitis Other names Vulvovaginitis, vaginal infection, vaginal inflammation[1] Pronunciation vaj-uh-NAHY-tis[1] Specialty Gynecology Symptoms Itching, burning, pain, discharge, bad smell[1] Causes Infections (bacterial vaginosis, vaginal yeast infection, trichomoniasis), allergic reactions, low estrogen[2] Diagnostic method[…] [en.wikipedia.org]