Pain in the Inguinal Region With Clinically Negative, Sonographically Positive Hernias

Pain in the Inguinal Region With Clinically Negative, Sonographically Positive Hernias, one of the featured discussions at the American Hernia Society (AHS) Annual Meeting 2026, will be presented by Dr. Brian Jacob on Friday, August 28, 2026, at 3:00 PM in the Centennial Room.

These are the diagnoses to consider when evaluating inguinal pain despite the sonographic presence of a small hernia:

* Thoracoabdominal syndrome (referred pain from the lumbar spine or lumbo-sacral region)

* Rectus abdominis strain or tendon tear

* Adductor-related groin pain

* Pubalgia / pubic-related groin pain

* Iliopsoas-related pain

* Hip pathology, including femoroacetabular impingement, labral disease, or osteoarthritis

* Inguinal lymphadenitis or lymphadenopathy

* Genitourinary causes, particularly epididymal, testicular, or prostatic pathology

* Neuropathic pain or nerve entrapment

* Irritable bowel syndrome or other gastrointestinal causes

The first four constitute most of my cases.