TY - CHAP M1 - Book, Section TI - Abdomen A1 - Hankin, Mark H. A1 - Morse, Dennis E. A1 - Bennett-Clarke, Carol A. PY - 2017 T2 - Clinical Anatomy: A Case Study Approach AB - Patient PresentationDuring a routine physical examination, a small, round swelling was noted in the left groin of a 12-year-old male.Relevant Clinical FindingsHistoryThe patient reported that he had noted the swelling some time ago, but that it was not painful. The bulge seemed to change in size depending on his body position and time of day. Early in the morning it was barely noticeable, but later in the day or after exercise the enlargement was more obvious. The patient has had no prior major illnesses or surgeries.Physical ExaminationThe following findings were noted on physical examination:Testes of normal size and position for patient's ageSmall palpable mass in left groin, just lateral and superior to pubic tubercleMass is easily reducibleLaboratory TestsTable Graphic Jump Location|Download (.pdf)|PrintTestValueReference valueErythrocytes (count)5.34.3–5.6 × 106/mm3Leukocytes (count)8.23.54–9.06 × 103/mm3Imaging StudiesUltrasonography of the left groin showed an abnormal mass.Clinical Problems to ConsiderEnlarged superficial inguinal lymph nodesHydroceleDirect inguinal herniaIndirect inguinal hernia SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1145871286 ER -