Calling for ‘inguinal disruption’ to be the term of choice for disorders of the inguinal ring: connecting Manchester and Doha

Pinpoint tenderness over the pubic tubercle at the point of insertion of the conjoint tendon; Palpable tenderness over the deep inguinal ring; Pain and/or dilation of the external ring, with no obvious hernia evident; Pain at the origin of the adductor longus tendon; Dull, diffuse pain in the groin, often radiating to the perineum and inner thigh or across the mid-line.