Wednesday, March 3, 2010

700,000 Surgeries/Year

This image from a 40 year old man shows a shaved surgical site at the location of the pathology. He initially presented with heaviness or dull discomfort in his pelvis worse with straining, lifting, and prolonged standing. This is relieved by lying down. He noticed this bulge in the right groin, and it is more pronounced with coughing.

Challenge: What is the diagnosis?

Image is in the public domain.


tree said...

Inguinal hernia!

<3 surgery

Suheil said...

Indirect inguinal hernia..

Anonymous said...

Inguinal hernia

Craig Chen said...

yes :)
700,000 Surgeries/Year

This is an inguinal hernia. The most common inguinal hernia is an indirect hernia which develops at the internal ring where the spermatic cord or round ligament exits the abdomen, lateral to the inferior epigastric artery.

Sources: UpToDate; Wikipedia.