A woman in her 40s with diabetes consulted an emergency department owing to a pain in the right groin, worsening since its onset 3 days before. What is your diagnosis?
This randomized clinical trial validates the safety and efficacy of video-assisted ablation of pilonidal sinus.
This review discusses the difficulties associated with diagnosis and treatment of median arcuate ligament syndrome and provides an algorithm to guide workup and intervention.
A 69-year-old man presented to the emergency department with a 5-day history of painful irreducible right inguinal swelling, a normal white blood cell count, and a hypodense mass on computed tomographic imaging. What is your diagnosis?
A 65-year-old man had a painful anal mass and fecal incontinence. The anal lesion appeared 1 year earlier and grew slowly to the current size. The patient reported bleeding from the rectum after defecation and denied weight loss or fever. What is your diagnosis?
This randomized clinical trial with data collection during a brief hospital stay determines whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after laparoscopic ventral hernia repair reduces pain or narcotic requirements.
A woman in her mid-50s presented to the clinic with a 6-month history of progressive swelling and pain on the right side of her neck. What is your diagnosis?
This database review of patients undergoing high-resolution anoscopy with biopsy showed that those with anal pain and lesions are at increased risk of high-grade anal dysplasia. See also the Invited Commentary by Fleshman.
This retrospective cohort study finds that pancreatic resection with autologous islet transplantation for severe chronic pancreatitis is a safe and effective final alternative to ameliorate debilitating pain and to help prevent the development of surgical diabetes.
Holman et al compare pain at the harvest site and functional changes associated with harvesting the radial artery vs saphenous vein for coronary artery bypass grafting.
Chen et al evaluate laparoscopic triple neurectomy of the ilioinguinal, iliohypogastric, and genitofemoral nerve trunks in the retroperitoneal lumbar plexus for treatment of refractory inguinodynia.