ABSTRACT
En el Hospital Militar Central "Dr. Carlos J. Finlay" consultan pacientes, fundamentalmente jóvenes con dolor inguinal sin alteraciones al examen físico y resulta complejo tratarlos adecuadamente al no poder precisarse la causa del dolor. Objetivo: determinar la utilidad de la ecografía en la determinación de las causas del dolor. Métodos: se desarrolló un estudio prospectivo y longitudinal con 30 pacientes que consultaron por síndrome doloroso inguinal. Se les realizó ecografía inguinal, crural, del cordón, del escroto con su contenido o labios mayores de la vulva, y se relacionaron los hallazgos con lo encontrado en la intervención quirúrgica o la evolución clínica si no fueron intervenidos durante los tres meses posteriores a la primera consulta. Resultados: el promedio de edad fue de 21,2 años con predominio de los hombres (96,7 %). Se sospecharon por ecografía enfermedades en 29 regiones inguinocrurales (93,5 %) en las que no se habían encontrado alteraciones al examen físico y dos cuyo ecograma se consideró normal. De ellas, en 18 se informó sospechas de hernias inguinales, siete adenomegalias, dos varicoceles, un quiste del cordón y uno de Nuck. Se operaron todos los pacientes con hernias, uno con varicocele y dos con quiste, en los que se confirmó el diagnóstico. Conclusiones: la ecografía constituye una herramienta útil cuando el examen físico no justifica el dolor inguinal...
Patients, most of them young, present at Dr. Carlos J. Finlay Central Military Hospital with groin pain without any alterations in the physical examination. Since the source of the pain cannot be determined accurately, it is difficult to indicate an effective treatment. Objective: determine the usefulness of echography in establishing the causes of the pain. Methods: a prospective longitudinal study was conducted with 30 patients presenting with groin pain syndrome. Echography of the groin, crus, cord and scrotum was performed, including its content or vulvar labia majora. Results were compared with those found in surgical interventions or the clinical evolution or those who were not operated on during the three months following the first consultation. Results: mean age was 21.2 with a predominance of the male sex (96.7 %). Echography revealed 29 cases of suspected inguinocrural disease (93.5 %) in which no alterations had been found in the physical examination, and two whose echogram was considered to be normal. Of these, 18 were reported as suspected groin hernia, seven as adenomegaly, two as varicocele, one as a cord cyst and one as a Nuck cyst. All patients with hernias, one with varicocele and two with cysts underwent surgery, and the diagnosis was confirmed. Conclusions: echography constitutes a useful tool when the physical examination does not reveal the cause of groin pain...