What are the clinical findings of hydroceles in children with abdominal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

An acute hydrocele may present in childhood as a rapidly growing, painful scrotal swelling simulating an incarcerated hernia. Palpating the cord structures at the internal ring while assessing their mobility helps distinguish between these two entities. A hydrocele is more mobile, has a defined proximal margin, and is not thick. A hydrocele of the cord presents in the inguinal canal as a nontender, rubbery, round mass.


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