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Postgraduate Medical Journal 2005;81:201
© 2005 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTIONS

Urology

An unusual cause of inguinal pain

V K Gautam , V Nigam , A Jaiswal , V Jain

Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

Correspondence to:
Correspondence to:
Dr V K Nigam
House no C 401, Jagdambe Apartments, Plot No C58/25, Sector 62, Noida-201303, India; v_nigamdr@yahoo.com

Submitted 6 March 2004
Accepted 10 April 2004

Answers on p 202.

The first 150 words of the full text of this article appear below.

An 82 year old man was operated on for benign hypertrophy of prostrate. The surgery chosen was transurethral resection of the prostrate with high frequency current. Six weeks after surgery, the patient experienced pain in the inguinal region, more pronounced on the left side. The pain increased on coughing and straining, and was non-radiating in character.

The pain increased in severity over the next month and produced noticeable Trendlenberg gait on attempted walking. The pain then reached a plateau for six months and continued for 1.5 years.

Fine needle aspiration cytology showed only acute inflammatory cells. Interestingly, the patient had relief of pain lasting for 7–10 days after multiple needle pricks for fine needle aspiration cytology. Urine culture and sensitivity showed Escherichia coli two weeks after surgery that cleared with antibiotics. Haemoglobin decreased from initial 13 g% to 7 g% and the erythrocyte sedimentation rate rose to a high . . . [Full text of this article]


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