Case 3: The Weightlifter

MBBS
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25 year old Jai, likes to excercise alot and pull weights. He has a good physique but sometimes he ego lifts weights to show strength. During one such event in grabbed weight down from the floor. He felt a sharp razor like pain going through his groin to his scrotum. A few days later he discovered a lump of swelling near his groin below his waist. He mistook it for a normal swelling and went on. Days later it started paining and hurting alot, he couldn’t eat or sit properly. Passing stools or urinating became difficult. He went to see a doctor when doctor told him to run an immediate MRI. After examining the MRI, Jai was asked to undergo a surgery. The surgery went well and Jai recovered.

Could you guess the diagnosis?
What kind of Surgery must have been used?

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It might be Inguinal Hernia.
Noting the points :-Lifting heavy weights suddenly, especially with poor technique, increases intra-abdominal pressure.

surgical options:-

  1. Open Hernia Repair or Lichtenstein repair
  2. Laparoscopic Hernia Repair
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3

Sounds like an inguinal hernia, likely triggered by strain from heavy lifting.
The sharp groin pain and bulge are classic signs.
He probably underwent hernia repair surgery, most likely a laparoscopic inguinal hernioplasty.

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4

The probable diagnosis is inguinal hernia.

  • Ego lifting is a classic trigger for inguinal hernia
  • razor like pain can be the hernia protruding through the inguinal canal
  • difficulty in urination or defecation can be a sign of strangulation

Likely surgery performed would be Lichtenstein tension free mesh repair which is commonly done for inguinal hernia

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