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Diagnosis of a Lump in the Adult Groin

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Management of Abdominal Hernias
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Abstract

Swelling and 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 straightforward, 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:

  • Groin symptoms but no swelling, is there a hernia?

  • Groin swelling, but is it a hernia?

  • Hernia, but is it causing the symptoms?

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Correspondence to Andrew C. de Beaux .

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de Beaux, A.C., Patel, D. (2018). Diagnosis of a Lump in the Adult Groin. In: LeBlanc, K., Kingsnorth, A., Sanders, D. (eds) Management of Abdominal Hernias. Springer, Cham. https://doi.org/10.1007/978-3-319-63251-3_11

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  • DOI: https://doi.org/10.1007/978-3-319-63251-3_11

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