Subcutaneous Inguinal Mass

  • Carli Cooper, DO Carolinas Health Care Blue Ridge - Family Medicine Residency
  • Amanda Ford, DO Carolinas Health Care Blue Ridge - Family Medicine Residency
  • Suma Thomas, DO Carolinas Health Care Blue Ridge - Family Medicine Residency
  • Thomas Meek, DO Carolinas Health Care Blue Ridge - Family Medicine Residency

Abstract

A 21-year-old white female presented to the emergency department with intermittent right lower quadrant pain associated with a palpable nodularity that has waxed and waned in size and tenderness over the past year. The lesion seems to be more prominent around the time of her menses. Her symptoms significantly worsened over the past 3 days with associated nausea and vomiting. She denies any radiation of the pain. Further denies dysuria, constipation, diarrhea, or significant dysmenorrhea otherwise. The patient’s past medical history is significant only for an uncomplicated Caesarian section delivery 6 year’s prior (G1, P1). Prior to her presentation to the emergency department, she did not use any type of intervention.

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Clinical Images