26th April 2024

A 50-year-old man presents with a two-year history of a bulge in his groin that has gradually increased in size.

A 50-year-old man presents with a two-year history of a bulge in his groin that has gradually increased in size. He describes discomfort and a dragging sensation in the groin, especially after prolonged standing or physical activity. He also reports occasional sharp pains during coughing. On physical examination, there is a palpable bulge in the right groin that increases in size with coughing and decreases when lying down. There are no signs of bowel obstruction or skin changes over the bulge.

Which is the most likely diagnosis?