Ruptured Hemorrhagic Ovarian Cyst Presenting as an Incarcera
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Case
33-year-old female patient came to our office with 2-day history of painful left inguinal swelling. A detailed history taking revealed that it was a reducible swelling present since birth. She denied any history of irreducibility in the past. As it was otherwise asymptomatic, she never bothered to consult any physician. She never had any trauma at that site. Local examination revealed a globular, tender 4 × 4?cm irreducible swelling without an expansible impulse on coughing. It was situated above the inguinal skin crease. Ultrasound imaging revealed a 4 × 3.4?cm adnexal mass in the inguinal canal; it had a mixed echotexture with suspicious absence of blood flow on Doppler assessment. There was a collection of fluid around the mass......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652049/
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