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JAMA Surgery Clinical Challenge
June 2016

Atypical Groin Pain

Author Affiliations
  • 1Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva, Switzerland
JAMA Surg. 2016;151(6):575-576. doi:10.1001/jamasurg.2015.4427

A woman in her 40s with diabetes consulted our emergency department owing to a pain in the right groin that had worsened since its onset 3 days before. The pain radiated throughout the right leg and was related to nausea without vomiting. The patient’s history revealed chronic constipation, relieved by the use of laxatives. The patient never noticed any inguinal protrusion or mass. Furthermore, results of an abdominal physical examination were also normal, and no neurological or vascular deficits were found.