Inguinal Hernia vs. Hydrocele of the Cord
Left picture: Here, the diagnosis is an inguinal hernia of the right side. Right picture: This infant has a right-sided hydrocele of the cord. If the clinical pictures such as on the right side (as shown here) or on the left side are known by the physician, radiological imaging is not necessary.
Both male infants have a swelling of the right groin region. The swellings have been recently observed by the parents. Left picture: The pathology has occurred before again and again. Right picture: The local finding has developed gradually. The swelling is cystic and tense on palpation, and has a distinct demarcation from the external inguinal ring. Left picture: The swelling is smooth, radiates continuously in the inguinal channel, and disappears on an appropriate bimanual manipulation. Right picture: All attempts of reduction are ineffective and generate severe pain.