To say something in a low, guttural tone, often with difficulty or in a labored manner. A noun or pronoun can be used between "groan" and "out." Luckily, the patient managed to groan her symptoms out before collapsing. He struggled to groan out his address to the 911 dispatcher.
groan something out
to say something with a groan. He groaned the name out. He groaned out the name of his assailant before he passed out.