Inguinal pain: a diagnostic challenge in pediatric surgery

Abstract

The differential diagnosis of inguinal pain in pediatrics is controversial, in its anatomy there are various structures susceptible to pathology, with non-specific symptoms, which is why careful semiological management is essential. The objective of this clinical case is to demonstrate the rich range of pathologies that can occur in this area and their differential diagnosis for correct management of these cases. A detailed medical history was obtained from the patient, including symptoms, duration of pain, activities that exacerbate or relieve pain, previous medical history, and any previous interventions or treatments. We described the evaluation methods used, such as physical examinations, imaging tests (ultrasound , MRI), and laboratory analysis. Within the differential diagnosis we find various pathologies in honor of the multiple vascular, nervous, bone, and lymphatic structures, in addition to the inguinal canal itself, within this anatomical region, which is why we explain below which inguinal pathology is not synonymous with hernia.