Thursday, September 18, 2014

Complications

An obese 30 year old woman with Type II diabetes presents with groin pain. She had an inguinal hernia repair six months ago, but now regrets it. She has had multiple orthopedic surgeries in the past (the last one a year ago) but never had a problem like this. A few weeks after the hernia repair, she was doing well, but about two months out, she began having symptoms again. The pain is an episodic throbbing and burning sensation that begins with prickling pain. It's worse with activity and hyperextension of the hip. It's relieved by recumbency and hip and thigh flexion. Sometimes even just touching the wound or coughing can trigger pain. She also notices numbness over the thigh.

Challenge: What's your diagnosis?

Image shown under Creative Commons Attribution Share-Alike License, from Wikipedia.

1 comment:

Craig Chen said...

Complications

This is post-herniorrhaphy neuralgia, a late complication of hernia repair.

Source: UpToDate.