Scrotal and Groin swelling (Differential Diagnosis as before)

Lower abdomen and genitals of a 2.9-year-old boy. The left scrotum is enlarged in comparison to the right, and the left region of the groin is sligthly protruding between the transverse skin fold in the lower abdomen and the upper circumference of the penile root. During surgery a left inguinal hernia was encountered besides the testicular hydrocele. Theoretically, also a left inguinoscrotal hernia would have been possible based on the visible findings. During surgery for testicular hydrocele it is important to check the adjacent region, e.g. the spermatic cord for a hernia sac; the same is true for surgery of cryptorchidism because both pathologies are frequently combined with an inguinal hernia not yet manifest.