What Is Inguinal Adenopathy?

Inguinal region pain is a common clinical symptom. The groin is a triangular area on both sides of the lower abdomen. The medial boundary is the outer edge of the rectus abdominis, the upper boundary is the horizontal line from the anterior superior iliac spine to the outer edge of the rectus abdominis, and the lower boundary is the inguinal ligament. This area is relatively weak, and various diseases can cause pain in the groin. Common groin lymphadenitis, gynecological diseases, varicocele and so on. Timely treatment can achieve better treatment results.

Basic Information

Visiting department

General Surgery

Common locations

groin

Common causes

Inguinal lymphadenitis, inguinal hernia, gynecological diseases, varicocele, musculoskeletal diseases, disc herniation, etc.

Common symptoms

Local pain, stretch pain, radiation pain, etc., can affect the enlarged lymph nodes, tenderness, and may be associated with lower limb edema

Causes of groin pain

Many diseases can cause groin pain. More common in men, the ratio of male to female is about 15: 1, and the incidence is highest in infants and young children.

Inguinal lymphadenitis

Mainly the infection of the lymphatic system of the lower limbs causes local groin pain.

2. Inguinal hernia

After an inguinal hernia, there may be localized traction pain.

3. Varicocele

Presented as scrotal pain, may have groin drag pain.

4. Bone and muscle disorders

Local muscle strains, ligament strains, and nerve injuries can cause local pain all year round.

5. Gynecological diseases

Ovarian cyst pedicle torsion and pelvic inflammatory disease can cause pain in the groin area.

6. Disc herniation, piriformis syndrome

It can also cause pain in the lower back and lower limbs and can radiate to the groin area.

Clinical manifestations of groin pain

Local pain in the groin area, traction pain, and radiation pain. Can swell with local enlarged lymph nodes and tenderness, and some can be associated with lower extremity edema.

Inguinal pain examination

Ultrasound and blood and stool routine examinations, as well as other related examinations, are performed as appropriate.

Inguinal pain diagnosis

According to medical history, clinical manifestations, physical examination, B-ultrasound and routine blood tests, the diagnosis can generally be made.

Differential diagnosis of groin pain

Inguinal lymphadenitis

This disease is one of the main causes of inguinal pain. Inguinal pain is likely to be local pain in the groin area caused by infection of the lymphatic system of the lower limbs.

2. Inguinal hernia

After the onset, there may be groin traction pain, and a local soft mass is formed, which is obvious when standing and disappears when lying flat.

3. Varicocele and prostatitis

Varicocele in men can manifest as scrotal pain and groin tension, but it usually improves after lying flat, and the local spermatic cord thickens and tenderness. In addition, prostatitis common in men can sometimes cause groin pain.

4. damage

Local muscle strain, ligament strain, and nerve injury can cause local pain.

5. Gynecological diseases

Clinically common ovarian cyst pedicle torsion and pelvic inflammatory disease can cause pain in the groin area.

6. Other

Intervertebral disc herniation, piriformis syndrome, and other diseases can cause pain in the waist and lower limbs, and sometimes the pain radiates to the groin area.

Inguinal pain treatment

Treatment for the primary disease.

Inguinal lymphadenitis

The main treatment is antibiotics, such as amoxicillin, and usually drink plenty of water; if the lymph nodes continue to swell to pus, surgery is needed.

2. Inguinal hernia

Most patients require surgery. If the patient is a child less than 2 years old, or an elderly and frail patient who has other serious diseases and cannot tolerate surgery, a hernia band can be used to prevent hernia from causing inguinal pain.

3. damage

Local prevention and early prevention and treatment of lumbar disc herniation and piriformis syndrome.