< // // // //

Case 46: Groin mass

A 54 year old man is having a CT abdomen for investigation of a right renal mass. The radiologist calls you concerned about an unrelated finding in the right groin.

1. What does the CT show?

There are contrast filled loops of small bowel in the left groin adjacent to the penis consistent with an inguino-scrotal hernia.

2. Does the CT appearance acutely concern you?

The bowel contains contrast indicating that it is not obstructed. It is also not distended or thick walled and there is no adjacent fluid. The CT therefore shows an uncomplicated hernia.

3. Outline your management of this man?

Full history and examination to confirm a reducible, uncomplicated hernia. Then educate him about the nature of the condition and signs of complications warranting return to the emergency department. Arrange for follow-up or repair as appropriate on an elective basis.