SELF ASSESSMENT QUESTION

General surgery

A 62 year old man with an inguinoscrotal swelling

A Basu¹, S Ranjith¹, S Jagdish¹, S C Sistla¹ and S Jayanthi²

¹ Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
² Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research

Correspondence to:
Correspondence to:
Dr A Basu
Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India; adhishbasu@rediffmail.com

Submitted 3 December 2005

Accepted 13 January 2006

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Answers on p e18

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The first 150 words of the full text of this article appear below.

A 62 year old manual labourer, resident of a filariasis endemic region, presented with complaints of a progressively increasing swelling in his right groin for one year. The swelling initially disappeared on lying down and reappeared on straining. He gave no history of difficulty in micturition, chronic cough, or constipation. He had undergone an inguinal hernia repair on the left side four years back. Family history was non-contributory.

Clinical examination showed 10x15 cm right sided inguinoscrotal swelling that was firm in consistency, smooth surfaced, non-fluctuant, non-transilluminant, partially reducible and had a palpable impulse on coughing. The right testis was not palpable separately. There were no enlarged inguinal lymph nodes. General examination showed no other abnormalities. Investigations of the inguinoscrotal lump were undertaken.

A chest radiograph was unremarkable. Routine blood investigations including a complete blood count, renal parameters, and random sugar were within normal limits. A scrotal . . . [Full text of this article]

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Relevant Article

A 62 year old man with an inguinoscrotal swelling
Postgrad. Med. J. 2006 82: e18. [Extract] [Full Text] [PDF]