Özgür Karakaş DURSUN, İbrahim YILMAZ, Aykut AYTEKİN

Genç erişkin erkekte kasık ağrısı: 446 olgunun retrospektif değerlendirilmesi

AMAÇ: Genç erişkin erkeklerde kasık ağrısı sıklıkla inguinal herni olarak değerlendirilip, genel cerrahi uzmanına yönlendirilmektedir. Kasık ağrısına daha az sıklıkla ürolojik, dâhili, ortopedik patolojiler de neden olmaktadır. YÖNTEM: 01 Ocak 2011-31 Aralık 2011 tarihleri arasında Ağrı Asker Hastanesi Genel Cerrahi Polikliniğine başvuran tüm asker hastaların kayıtları geriye dönük değerlendirilerek; kasık ağrısı ile başvuran hastaların kasık ağrılarının tarafı (sağ, sol ve bilateral), ameliyat olup olmadığı, fizik muayene ve ultrasonografi (USG) sonuçları analiz edildi. BULGULAR: 3196 hastanın 446’sı (%14’ü) kasık ağrısı şikâyeti ile başvururken %58,3’inde sağ, %39,6’inde sol ve %2,1’sinde bilateral kasık ağrısı şikâyeti mevcuttu. Kasık ağrısı olan hastalarda fizik muayene ile %43,8’sinde sağ, %28,1’inde sol ve %0,6’ünde bilateral inguinal herni saptandı. USG sonuçları değerlendirildiğinde sağda %28,5 normal, %5,7 inguinal lenfadenomegali ve %3,2 ürolojik patoloji saptandı. Solda ise %13,1 normal, %8,1 inguinal lenfadenomegali ve %11,4 ürolojik patoloji saptandı. Bilateral kasık ağrısı nedeniyle USG yapılan hastaların tamamında patolojik bulguya rastlanmadı. SONUÇ: Kasık ağrısı ile başvuran genç erişkin erkek hastalarda inguinal herni dışında ürolojik patolojiler, lenfadeopatiler ve ortopedik patolojiler de ayırıcı tanıda düşünülmeli, fizik muayenede belirgin herni saptanmayan hastalarda ayırıcı tanı için non-invaziv, kolay, ucuz ve doğruluk derecesi yüksek olan USG yapılmasının uygun olacağı değerlendirilmektedir.

Groin pain in young male adults: Retrospective evaluation of 446 patients

AİM: In young male adults; groin pain is evaluated as an inguinal hernia and usually referred to general surgeons. Less frequently; urological, internal and orthopedical diseases can cause to groin pain. METHODS: The side of groin pain (right, left or bilateral), whether or not surgery, physical examination, and ultrasonographic (USG) results were analysed from the soldier patients who applied to department of General Surgery of Ağrı Military Hospital with groin pain complaint from 01 January 2011 to 31 December 2011. RESULTS: 446 (14%) of the 3196 patients were applied with groin pain complaint with 58,3% right, 39,6% left, and 2,1% bilateral groin pain. Inguinal hernia was detected 43,8% at right, 28,1% at left, and 0,6% at bilateral with physical examination in patients with groin pain. At right 28,5% normal, 5,7% inguinal lymphadenomegaly, and 3,2% urological pathology was found in the evaluation of USG results. At left 13,1% normal, 8,1% inguinal lymphadenomegaly, and 11,4% urological pathology was found. No pathology was found with USG in bilateral groin pain. CONCLUSİON: Urological, orthopedical pathology, and lymphadenopathy should be considered in the differential diagnosis of groin pain except inguinal hernia in young male adults. USG is a non-invasive, easy, cheap method with high degree of accuracy properties and should be first alternative imaging at the differential diagnosis of undetermined inguinal hernia on physical examination in the patients with groin pain.

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