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Middle aged man with groin pain
  1. J Kumar1,
  2. K Toe1,
  3. R D Banerjee2
  1. 1Tameside General Hospital, Ashton under Lyne
  2. 1Whiston Hospital, Merseyside
  1. Correspondence to:
 Dr Kumar; 
 jyothishkumar3{at}btinternet.com

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Answers on p 182.

A 47 year old man, an electrician, presented with pain and discomfort in his left groin over a period of six months. One of the intravenous urograms from a series taken during the course of investigations is shown (fig 1).

Figure 1

Intravenous urogram.

QUESTIONS

  1. What abnormality is shown and what is the diagnosis?

  2. How do you manage this problem?

  3. What complications may arise during the management of such patients?

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