A 77-year-old multiparous female presents with a bowel obstruction. She has no previous abdominal operations and no abdominal wall hernias can be detected. In addition to her abdominal symptoms, she reports pain in her right medial thigh. The following statement(s) is/are true concerning her diagnosis and management.
A.	Expectant management with nasogastric suction and IV fluid replacement is indicated
B.	A right groin approach is indicated for exploration and repair of the presumed hernia
C.	The use of a polypropylene mesh will likely be necessary for repair
D.	A correct diagnosis can usually be made by visualizing an external mass in the upper, medial thigh
Answer:C
A 77-year-old multiparous female presents with a bowel obstruction. She has no previous abdominal operations and no abdominal wall hernias can be detected. In addition to her abdominal symptoms, she reports pain in her right medial thigh. The following statement(s) is/are true concerning her diagnosis and management.
A.	Expectant management with nasogastric suction and IV fluid replacement is indicated B.	A right groin approach is indicated for exploration and repair of the presumed hernia C.	The use of a polypropylene mesh will likely be necessary for repair D.	A correct diagnosis can usually be made by visualizing an external mass in the upper, medial thigh