Patient case: Inguinal Hernia
A 48-year-old male presents to the emergency department with complaints of a painful bulge in the right groin that has developed over the past month. He reports that the bulge becomes more noticeable and painful when he coughs or lifts heavy objects. The patient also describes experiencing discomfort in the groin area, especially after prolonged standing or physical activity.
On physical examination, a palpable, reducible mass is noted in the right inguinal region, which increases in size with Valsalva maneuver. The skin overlying the hernia is intact, and there are no signs of incarceration or strangulation. The patient has no significant past medical history and is otherwise healthy.
An ultrasound is performed to confirm the diagnosis, which reveals an indirect inguinal hernia. After discussing treatment options, the patient decides to proceed with elective surgical repair. He is scheduled for a laparoscopic hernia repair procedure in two weeks. The risks and benefits of surgery, as well as postoperative care, are thoroughly explained.
a). Severe abdominal pain and vomiting
b). Painful bulge in the right groin and discomfort with physical activity
c). Fever and chills
d). Jaundice and abdominal distension
a). Palpable mass in the epigastric region
b). Tenderness in the right flank
c). Reducible mass in the right inguinal region
d). Hyperactive bowel sounds
a). CT scan of the abdomen
b). MRI of the pelvis
c). Abdominal ultrasound
d). X-ray of the abdomen
a). Watchful waiting with no intervention
b). Laparoscopic hernia repair
c). Open repair without general anesthesia
d). Administration of antibiotics only
