Gen Surgery Hernia

Q) True statement about this clinical scene: Child with inguino scrotal swelling that increases in size in evening, you cannot get above the swelling and testis is not palpable separately

a) Bowel is the content

b) It is a hernia

c) Urgent surgery needed

d) It is Abdomino scrotal hydrocele

Ans d

This is abdomino scrotal hydrocele, cant get above and testis is not separately palpable.  A hydrocoele can occasionally extend back up into
the canal or abdomen (abdomino-scrotal hydrocoele).

Hernia - testis will be palpable separately, it will increase in size on cough and crying. Sometimes  In infants they can transilluminate like a hydrocoele.

Urgent surgery not needed

Its not a hernia so no content