ABSTRACT
Groin pain in athletes may be due to muscle strains, referral of pain from internal organs, and/or hernia. This study includes ten elite level hockey players unable to continue their careers due to groin pain. These patients did not present with the typical causes described above, including hernia. They were explored surgically and were found to have tears in the floor of the inguinal ring which were repaired either directly or with a synthetic mesh reinforcement (seven cases). All the patients have subsequently returned to hockey. Because these patients presented with symptoms similar to hernia, but did not have a hernia at the time of surgical exploration, they were considered to have a condition previously described as "sportsman's hernia".
Subject(s)
Abdominal Muscles/injuries , Hockey/injuries , Abdominal Muscles/surgery , Abdominal Pain/diagnosis , Adult , Diagnosis, Differential , Follow-Up Studies , Hernia, Inguinal/diagnosis , Humans , Male , Surgical MeshABSTRACT
This case report describes a patient who for 31 months has received regional intrahepatic chemotherapy from a continuous infusion pump and who developed a gastroduodenal artery-duodenal fistula, a previously unreported complication of regional infusion therapy. The patient presented with signs and symptoms of upper gastrointestinal bleeding. The clinical evaluation and management are described. An angiogram was performed through the auxillary septum to identify the source of bleeding. The possible etiologic factors in this case are discussed. We believe that this complication will continue to be rare, but health care providers should be aware of its presentation and its preferred method of evaluation and management.
