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14161 Surgery

A 70-year-old woman presents with a tender irreducible mass immediately below and lateral to the pubic tubercle. Plain abdominal x-ray shows intestinal obstruction Treatment with a nasogastric tube and intravenous fluids is initiated. What is the next step in treatment?

ASedation to relax the patient and allow spontaneous reduction of the mass
BSedation and surgery scheduled for the next elective surgical appointment
CSedation and manual taxis (reduction)
DEmergency surgery on the left groin
Surgery
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