Sportman's hernia

Case contributed by Dr Tim Luijkx

Presentation

Surgical mesh on right side because of prior sportman's hernia. Had right-sided herniotomy as a child. Painful scar and possibly palpable abnormality. Recurrence of sportman's hernia?

Patient Data

Age: 30
Gender: Male
MRI

Slight bone marrow oedema medial in pubic bones, more pronounced on the right side, near the origin of the adductor longus. Fluid located at the aponeurosis of rectus abdominis-adductor longus in keeping with a secondary cleft, best appreciated on the oblique PD fatsat series.

No muscular atrophy, fatty change or oedema.

Case Discussion

Findings consistent with right-sided (remnants of) sportman's hernia, i.e. focal injury of the aponeurosis of the rectus abdominis-adductor longus muscles. 

Sportman's hernia is one of the entities covered by the more appriately coined term athletic pubalgia.

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Case information

rID: 39041
Case created: 17th Aug 2015
Last edited: 28th Aug 2015
Inclusion in quiz mode: Included

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