|Discussion in 'All Categories' started by Saravanan. J - Jun 12th, 2012 10:18 am.|
|Right Inguino Scrotal Swelling, D/D Hernia ( Evidence of echogenic lesion with peristalsis seen in the right liguino scrotal with cough impulse noted) in the Ultrasound study.|
re: Scrotal Swelling, D/D Hernia by Dr J S Chowhan - Jun 13th, 2012 6:44 am
Dr J S Chowhan
According to the USG report and your clinical symptoms it looks like you have inguinal hernia.
The differential diagnosis possible is:
b) Saphena varix
c) Femoral hernia
e) Direct inguinal hernia
Although a huge list is also there.
D.D of Inguinal swellings ?
1- cystic :
1- Inguinal (direct or indirect) diagnosed by Int. ring test & Zieman's test.
2- Femoral hernia * below & lat. to the pubic tubercle.
* Zieman's test impulse perceived by ring finger
II- Artery Iliofemoral aneurysm (compressible , pulsating swelling
along the line of artery , moves across artery not along it)
III- Vein Saphena varix (compressible swelling at saphenous
opening show thrill on cough & evidence of V.V. of the lower limb.)
IV- lymphatic cyst
V – Muscle
a) Psoas abscess
1-Evidence of disease of the spine (Pott's disease of spine)
2-Dull on percussion 3-Slightly compressible
4-It appears as cross fluctuant swelling across the inguinal ligament
b) Psoas bursitis
1- tense ,cystic swelling beneath inguinal ligaments
2- disappear on flexion of the hip 3- evidence of hip osteoarthritis
VI- Skin & SC tissues: e.g.
* sebaceous cyst * lipoma (soft swelling with pseudo-fluctuation)
2- solid :
I- Lymph node Inguinal lymphadenitis :
a- Tender & multiple swellings b- inguinal canal is empty.
II- Testicle Undescended or ectopic testicle
a- swelling has characteristic testicular sensation b- scrotum is empty
Please consult any good physician for confirmation.
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.