{"ops":[{"insert":"A 29 year old lady in her second pregnancy presents at 36 weeks of gestation with a palpable mass in her right groin for two weeks, which has slowly increased in size.\n\nThere was no associated abdominal pain, while her bowel habits were unaltered. Her pregnancy was otherwise unremarkable so far. \n \nHer first pregnancy was uneventful.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-025_en.png"}},{"insert":"\n"}]}
2
Investigate
Ultrasound Abdomen
{"ops":[{"insert":"There is a 2.5 x 3 cm mass in the right groin, with a prominent venous plexus and multiple dilated draining veins. There is no sonographic evidence of herniated bowel or lymph nodes.\n"}]}
Color Doppler of Mass
{"ops":[{"insert":"The mass is hypervascular, with abundant venous flow, which is augmented by the valsalva maneuver. The veins are noted to drain into the inferior epigastric vein.\n"}]}