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Case 128: Worsening pain in the groin

This gentleman presented acutely with a sudden increase in groin pain. He had noticed a slowly enlarging lump in the right groin over the past few months. The pain and size of the lump would decrease at the end of each day as he got home from work, sat down, and relaxed.

1. What is the diagnosis?

2. What treatment would you offer this man acutely, if any?