Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health

A 33 year-old female presented to the emergency department (ED) with of two weeks of diffuse abdominal pain, right flank pain, and a slowly enlarging right inguinal mass. She had no associated fever, chills, nausea, vomiting, or diarrhea. She was evaluated by her primary care physician, and an inguinal ultrasound was obtained prior to referral to the ED. On arrival in the ED, her vital signs were unremarkable, and she was afebrile. On exam, there was no abdominal tenderness, and a 2cm x 2cm non-reducible, mildly tender right inguinal mass was noted. A bedside ultrasound (Figures 1 and 2) was performed in the ED. [West J Emerg Med. 2014;15(7):–0.]