© 2005 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTIONS
Urology
An unusual cause of inguinal pain
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
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 710 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
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