More Swelling

Female Reproductive System & Breast

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady has presented with a right-sided inguinal mass at the tail-end of pregnancy - a very rare presentation.\n\nThe differential diagnosis is wide and includes inguinal hernias, cysts of the canal of Nuck, round ligament varicosities, subcutaneous lipomas, inguinal lymphadenopathy, vascular aneurysms, abscesses and soft tissue malignancies.\n\nHowever, note the presence of complete reducibility, and a palpable cough impulse - these clinical findings are found in only two of the above conditions: inguinal hernias and round ligament varicosities (RLV).\n\nIt is almost impossible to differentiate between the above on clinical grounds alone; ultrasound imaging of the lump is the best means of determining which of these is the causative etiology."}]}

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