A 28-year-old woman presented with a history of right groin bulge associated with a “pop” when the bulge appeared. The hernia could not be demonstrated on physical exam, but the history was convincing enough to recommend surgery.
A low inguinal incision was made in the event a sub-inguinal exploration was indicated to look for a femoral hernia. The superficial epigastric vessels were identified, ligated and divided.
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