Differential diagnosis:

Lymphoma:

Rule in Rule out

+ bulging mass - fever

- night sweats

- weight loss

Varicocele:

Rule in Rule out

+ Mass on Left Age 1 year old

inguinal area

Treatment:

• Surgical repair is the definitive treatment of inguinal hernias.

• Nonoperative management is an appropriate consideration in minimally symptomatic patients.
• Other options include either an open inguinal herniorrhaphy or laparoscopic inguinal
herniorrhaphy.
• In open inguinal herniorrhaphy, one larger incision is made over the abdomen near the groin.
• In laparoscopic inguinal herniorrhaphy, multiple smaller abdominal incisions are made.