Q:

A 60 year old man presents with mass in the groin. Examination: mass lies below the midpoint of the inguinal ligament and is pulsatile. What is the most probable diagnosis?

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A 60 year old man presents with mass in the groin. Examination: mass lies below the midpoint of the inguinal ligament and is pulsatile. What is the most probable diagnosis?


  1. Direct inguinal hernia
  2. Saphenavarix
  3. Femoral hernia
  4. Irreducible hernia
  5. Femoral aneurysm

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The key is E. Femoral aneurism . [Hernia below pubic tubercle (below inguinal ligament) is femoral hernia. But below mid-inguinal point and pulsatile mass is femoral aneurism].

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