Evaluation of inguinal swelling in children
- David J Mathison, MD, MBA
David J Mathison, MD, MBA
- Medical Director, Pediatric Transport Team
- Attending Physician, Pediatric Emergency Medicine
- Assistant Professor of Pediatrics & Emergency Medicine
- George Washington University School of Health Sciences
- Section Editor
- George A Woodward, MD
George A Woodward, MD
- Section Editor — Pediatric Signs and Symptoms
- Professor of Pediatrics
- University of Washington School of Medicine
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — Adult and Pediatric Emergency Medicine
- Senior Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
This discussion will be limited to an approach to swelling of the inguinal area.
Evaluation and treatment of hernias, lymphadenopathy, cryptorchidism, and isolated scrotal swelling in children are discussed separately:
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- Kynes JM, Rauth TP, McMorrow SP. Ruptured appendicitis presenting as acute scrotal swelling in a 23-month-old toddler. J Emerg Med 2012; 43:47.
- INGUINAL ANATOMY
- CAUSES OF INGUINAL SWELLING
- Inguinal hernia
- Inguinal lymphadenopathy
- Inguinal lymphadenitis
- Granuloma inguinale
- Spermatic cord hydrocele
- Testes: Retractile, ectopic, or undescended
- Testicular dislocation
- Femoral hernia
- Physical examination
- Ancillary studies