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Differential diagnosis of groin swellings

Differential diagnosis of groin swellings
Inguinal Inguinoscrotal Femoral Inguinofemoral Scrotal
Inguinal hernia Inguinal hernia Femoral hernia Inguinal lymph nodes Skin: boils, sebaceous cysts, papillomas, warts
Lymph nodes Hydrocele: encysted hydrocele of the cord, infantile hydrocele, hydrocele of the hernia sac Lymph nodes Distended psoas bursa

Subcutaneous tissue: lymph scrotum, filariasis

Tunica vaginalis: hydrocele, pyocele, hematocele, chylocele
Encysted hydrocele of the cord Spermatic cord: varicocele, funiculitis, lymph varix, diffuse lipoma of the cord, hematoma of the cord Saphena varix Effusion in the hip joint Testis: Orchitis (acute/chronic), neoplasms
Undescended testis Testis: undescended, ectopic testis Ectopic testis   Epididymis: cysts, acute or chronic infections
In females or pregnant women: round ligament varicoses       Spermatic cord: varicocele, lymph varix
Reprinted by permission from Springer: Hernia. HerniaSurge Group. International guidelines for groin hernia management. Hernia 2018; 22:1. Copyright © 2018. https://www.springer.com/journal/10029.
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