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Sportman's hernia

Case contributed by Tim Luijkx
Diagnosis certain

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 years
Gender: Male
mri

Slight bone marrow edema 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 edema.

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 appropriately coined term athletic pubalgia.

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