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
Modality: 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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