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.