Woman With a Groin Mass

A 63-year-old woman presented with a left-sided groin mass present for 2 months. It became larger and painful 1 month earlier after she lifted furniture. Her surgical history was notable for a remote left iliac endarterectomy. She presented to the emergency department concerned that she had a hernia. A pulsatile, ecchymotic mass was found in the left inguinal region (Figure 1). Bedside ultrasonography revealed a 6-cm fluid collection about the common femoral artery (Figure 2).

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