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Figure it out fridays 



A 70-year-old female presented with a painless right groin swelling that she first noticed 2 weeks ago, gradually increasing in size. She had no obstructive symptoms. 

Past medical history: COPD, breast cancer and TB

On examination:

Adipose abdomen and a non-tender swelling was palpable in her right groin.

It was ∼4 cm in size, soft but not reducible and located below the groin crease.

Labs: Marginally elevated white cell count and CRP. 

USS abdomen: a lymph node in the right groin with surrounding fluid and unusual appearances not typical of a hernia. 

CT abdomen and pelvis + C was done:

What is your diagnosis?

A. Femoral hernia

B. Inguinal hernia

C. De Garengeot's hernia

D. Lipoma

E. Femoral artery pseudoaneurysm

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