Inguinal Hernia vs. Lymphadenopathy
Left picture: Due to the local clinical findings the diagnosis is a right inguinal hernia. Right picture: Considering the pain and the inflammatory signs, an incarcerated inguinal hernia may be present. The location of the swelling along the groin fold without a continuation in the direction of the labium maius and its oval shape and fluctuation does not fit in with an incarcerated inguinal hernia. The diagnosis is a lymphadenopathy with abscess.
Left picture: Toddler in whom the mother observed a painless and smooth swelling of the right groin. Right picture: This female toddler was brought for consultation by her mother due to a painful inguinal swelling on the right side with a distinct redness of the overlying skin. Left picture: The overlying skin is non-irritant, and the swelling blends with the surroundings. Right picture: Palpation of the oval and semispherical swelling is painful, and some fluctuation is present.