Groin pain

Introduction Many people do not care about groin pain, especially mild pain, but in fact, there is generally no special discomfort, only occasionally with local pain and pain. As the disease progresses, the mass can gradually increase, from the groin to the scrotum or the labia majora, inconvenient walking and affect labor. Inguinal pain is more common in men with the symptoms of many diseases. The ratio of male to female is about 15:1, with the highest incidence of infants and the elderly.

Cause

Classification of causes:

1, inguinal lymphadenitis: mainly in the lower limb lymphatic system infection or inflammation caused by local groin area pain;

2, inguinal hernia: after the inguinal hernia, there may be local traction pain;

3, varicocele: manifested as scrotal fall pain, may have traction pain in the groin;

4, bone, muscle disease: local muscle strain, ligament strain, nerve damage can cause local pain throughout the year;

5, gynecological diseases: ovarian cyst pedicle torsion, pelvic inflammatory disease can cause pain in the groin area.

6, disc herniation, piriformis syndrome: can also cause pain in the lower back and lower limbs, can be radiated to the groin area.

an examination

Related inspection

Laparoscopic abdominal vascular ultrasound

The inguinal region is the triangular region on both sides of the lower abdomen. The medial boundary is the outer edge of the rectus abdominis muscle. The upper boundary is the horizontal line from the anterior superior iliac spine to the outer edge of the rectus abdominis. The lower boundary is the inguinal ligament. This area is relatively weak. A variety of diseases can cause pain in the groin.

1. Change the body position after injecting contrast agent into the lower abdomen, and take a prone position after 2-4 minutes. The method is simple and relatively safe. The positive rate of foramen ovale is about 95%.

2, may also be accompanied by paroxysmal abdominal cramps, nausea, vomiting, constipation, abdominal distension and other mechanical intestinal obstruction.

Differential diagnosis

Disease diagnosis

The inguinal region is the triangular region on both sides of the lower abdomen. The medial boundary is the outer edge of the rectus abdominis muscle. The upper boundary is the horizontal line from the anterior superior iliac spine to the outer edge of the rectus abdominis. The lower boundary is the inguinal ligament. This area is relatively weak. A variety of diseases can cause pain in the groin. Inguinal lymphadenitis is one of the main causes of groin pain. Inguinal pain is likely to be local groin area pain caused by lymphatic infection or inflammation of the lower extremities, but it can be caused by local swelling of the lymph nodes and tenderness. Some can be combined. Lower extremity edema, clinically, B-ultrasound and blood routine examination, generally can be diagnosed, the treatment is mainly antibiotic treatment.

After the inguinal hernia, there may be a pulling pain in the groin, and a soft texture of the part is formed. It is obvious when standing, and disappears after lying down. Local physical examination and B-ultrasound can also be diagnosed, mainly surgical treatment.

Disease identification

1, male varicocele: can be expressed as scrotal fall pain, may have groin pull pain, but generally flat after the improvement can be improved, local spermatic cord thickening tenderness. Severe attacks require surgery. In addition, common prostatitis in men can sometimes cause groin pain.

2, local muscle strain, ligament strain, nerve damage: can cause local pain, clinically common mass ovarian cyst pedicle torsion, pelvic inflammatory disease can cause pain in the groin area.

3, disc herniation, piriformis syndrome and other diseases: can cause pain in the lower back and lower limbs, sometimes pain will radiate to the groin area.

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