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Clinical Reference Systems: Pediatric Advisor 10.0
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Groin or Scrotum Swelling

DESCRIPTION

This guideline covers a swelling, bulge, or lump in the scrotum (or groin) in males.

CAUSES

The two most common conditions causing swelling of the scrotal sac are a hydrocele and a hernia.

Two emergency conditions that can occur with scrotal swelling and severe pain are torsion (rotation) of the testicle and an infected testicle (orchitis).

A lymph node can swell up following a rash or infection of the leg, but it will be found in the groin crease.

HOME CARE FOR A HYDROCELE

A hydrocele is a painless collection of clear fluid above the testicle. It is common in newborn males. A hydrocele may take 6 to 12 months to clear completely. It is harmless but can be rechecked during regular visits. If the swelling frequently changes size, a hernia may also be present and you should call your child's physician during office hours for an appointment.

CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:

  • The area is tender to the touch.
  • The swelling causes pain or crying.

CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS ABOUT:

  • All other children with swelling of the groin or scrotum, except a hydrocele diagnosed at birth.

Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
Copyright 1999 Clinical Reference Systems