Case

A patient comes to your practice having noticed a pain free swelling has developed over the past month on their anterior right thigh. The patient also reports reduced frequency of bowel movements and a somewhat bloated abdominal feeling.

 

Question 3/3 - What would you like to do?

Click on your selected option(s) below  (correct = 1,  over-thinking = 2+)

Case Complete

Incorrect. There are indications of mild obstruction so a 'wait and see' option is not appropriate, the recommendation should be for treatment.

Incorrect. While imaging could provide more information, the physical examination already provides the necessary actionable information needed.

Incorrect. Manual reduction would move potential bowel loops back into the abdomen, at which point they would promptly herniate back through the opening. Thus, reduction would not be useful in this case.

Correct. Given the size and likely contents of bowel loops surgery is warranted to put a mesh across the opening to prevent recurrence. Since symptoms are mild, this surgery does not need to be emergency in nature and could be scheduled for a suitable time. Though, given there are mild obstructive symptoms long delays would be recommended against.

Incorrect. While imaging could provide more information, the physical examination already provides the necessary actionable information needed.