Groin lump
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Definition
Lump in the groin-type area. (This is not the perineum. It's the bits where the creases between leg and torso are.)
Epidemiology
Pathophysiology
Clinical and Associated Features
- Inguinal hernia - more prominent on coughing, straining or standing (often disappears on lying down). Bulge can extend into genital region. Usually not painful. If it cannot be put back in, it is a
Medical Emergency - Irreducible inguinal hernia can develop gangrene and ischaemia with fatal consequences. Fatality is generally to be avoided in medicine.
- Lymphadenopathy - generally, look for signs of a haematological cancer (weight loss, anorexia, night sweats, bone pain, fever)
- Aneurysm - you can get femoral artery aneurysm. Pretty uncommon. Pulsatile mass in femoral region.
Differential Diagnosis
- Hernia -inguinal or femoral
- Lymphadenopathy - haematological cancer or obstruction
- Vascular - aneurysm, infected injection site