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.
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