Case 150: Baby lump
This young boys parents were worried about a lump in his right scrotum. Further history : the lump is always there, it does not seem to change when he cries, it is not really tender, the boy does not complain of pain associated with the lump.
1. Name some examination techniques to differentiate the possible diagnoses?
get above the lump, transillumination, palpation of the testis separate to the lump, reducible, fluctuant.2. What information would you like prior to operating?
Possibly an ultrasound to confirm the testis is normal, and to confirm the diagnosis. If clinical examination is clear, then this is probably not neccessary.Scrotal Masses Of Surgical Significance
Ultrasound features of spermatic cord hydrocele in children