26th August 2020

A 76 year old male presents with a lump in his left groin, superior and medial to the pubic tubercle

A 76 year old male presents with a lump in his left groin, superior and medial to the pubic tubercle.  He is able to self-reduce the lump.  He is retired but still active in his garden. When placing your hand over the deep inguinal ring and asking the patient to cough, the lump still protrudes.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.