Standing Or Valsalva in Surgery — 60yo Man | General Surgery | SMLE Q#9728
SMLE Question #9728
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 60-year-old man underwent elective laparoscopic right inguinal hernia repair 5 days ago. He reports 2 days of swelling at a port-site wound. Examination shows a localized, soft, fluctuant swelling that is mildly tender, without erythema, warmth, or induration. There is no cough impulse, and the swelling does not change with standing or Valsalva. The wound edges are well approximated with no discharge. What is the most likely diagnosis?
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