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 — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- 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:
- Huang CS, Luo CC, Chao HC, et al. The presentation of asymptomatic palpable movable mass in female inguinal hernia. Eur J Pediatr 2003; 162:493.
- Rathaus V, Konen O, Shapiro M, et al. Ultrasound features of spermatic cord hydrocele in children. Br J Radiol 2001; 74:818.
- Chang YT, Lee JY, Wang JY, et al. Hydrocele of the spermatic cord in infants and children: its particular characteristics. Urology 2010; 76:82.
- Martin LC, Share JC, Peters C, Atala A. Hydrocele of the spermatic cord: embryology and ultrasonographic appearance. Pediatr Radiol 1996; 26:528.
- Tsurukiri J, Kaneko N, Mishima S. Bilateral traumatic testicular dislocation. Urology 2011; 78:1306.
- Tsai HN, Wu WJ, Huang SP, et al. Bilateral traumatic testicular dislocation--a case report. Kaohsiung J Med Sci 2002; 18:95.
- Bromberg W, Wong C, Kurek S, Salim A. Traumatic bilateral testicular dislocation. J Trauma 2003; 54:1009.
- Ko SF, Ng SH, Wan YL, et al. Testicular dislocation: an uncommon and easily overlooked complication of blunt abdominal trauma. Ann Emerg Med 2004; 43:371.
- Singer AJ, Das S, Gavrell GJ. Traumatic dislocation of testes. Urology 1990; 35:310.
- Ollero Fresno JC, Alvarez M, Sanchez M, Rollán V. Femoral hernia in childhood: review of 38 cases. Pediatr Surg Int 1997; 12:520.
- Chapman WH, Barcia PJ. Femoral hernia in children: an infrequent problem revisited. Mil Med 1991; 156:631.
- Nayeem N. Femoral hernia in children. Br J Clin Pract 1990; 44:383.
- Tsushimi T, Takahashi T, Gohra H, et al. A case of incarcerated femoral hernia in an infant. J Pediatr Surg 2005; 40:581.
- Poenaru D, Jacobs DA, Kamal I. Unusual findings in the inguinal canal: a report of four cases. Pediatr Surg Int 1999; 15:515.
- Aarabi S, Drugas G, Avansino JR. Mesothelial cyst presenting as an irreducible inguinal mass. J Pediatr Surg 2010; 45:e19.
- Leeming R, Olsen M, Ponsky JL. Inguinal dermoid cyst presenting as an incarcerated inguinal hernia. J Pediatr Surg 1992; 27:117.
- Prada-Arias M, Ortiz-Rey JA, Fernández-Eire P, et al. Dermoid cyst of the spermatic cord in children. J Pediatr Surg 2010; 45:2058.
- Zampieri N, Carabaich A, Corroppolo M, et al. Two patients with tumours presenting as inguino-scrotal masses. Eur J Cancer Care (Engl) 2008; 17:205.
- Karplus G, Krasin MJ, Rodriguez-Galindo C, et al. Retrospective study of the surgical management and outcome of nonrhabdomyosarcoma soft tissue sarcomas of the groin and axilla in children. J Pediatr Surg 2009; 44:1972.
- Raney RB Jr, Crist W, Hays D, et al. Soft tissue sarcoma of the perineal region in childhood. A report from the Intergroup Rhabdomyosarcoma Studies I and II, 1972 through 1984. Cancer 1990; 65:2787.
- Leo ME, McManus MJ, Strawbridge LR, Kramer SA. Bilateral primary neuroblastomas in the inguinal canal. J Urol 1992; 148:135.
- Köseoğlu V, Akata D, Kutluk T, et al. Neuroblastoma with spermatic cord metastasis in a child: sonographic findings. J Clin Ultrasound 1999; 27:287.
- Cankorkmaz L, Ozer H, Guney C, et al. Amyand's hernia in the children: a single center experience. Surgery 2010; 147:140.
- 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