Case history and examination
A 25-year-old lady presented to our outpatient clinic with a history of
swelling in bilateral inguinal region for one month. Her prior health
records were normal, and she had no prior history of surgery or trauma.
Most importantly, she stressed not having had a single episode of
menstrual cycle up to that age. There were no recognized medical
conditions in her family history.
The examination of cardiovascular, respiratory, and nervous systems was
unremarkable. She measured 1.60 meters when examined physically,
demonstrated female phenotype, and her pubic hair distribution and
secondary sex traits were as per age. However, on abdominal examination,
she exhibited palpable swelling in bilateral inguinal region. Both of
the swellings were reducible and demonstrated positive cough impulse
test.