Q:

A 35 year old woman presents with mass in the groin. Exam: mass found just below and lateral to the pubic tubercle. There is no cough impulse and it is irreducible. What is the most probable diagnosis?

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A 35 year old woman presents with mass in the groin. Exam: mass found just below and lateral to the pubic tubercle. There is no cough impulse and it is irreducible. What is the most probable diagnosis?


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

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The key is C. Femoral hernia. [Mass below and lateral to the pubic tubercle is suggestive of femoral hernia].

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