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An infant boy born a few weeks early by natural, spontaneous vaginal delivery without complications is brought in by his mother for right-sided groin swelling that began while he was crying, that ‘won't go down’. There is no history of fussiness, vomiting, obstipation, fever, or change in feeding behaviour. On exam, he is active with normal vital signs. His right hemi-scrotum is moderately filled with a palpable, non-tender mass that readily disappears with pressure. The remainder of the exam is normal.
What are the two main causes of painless groin swelling in infants?
What are the important anatomical considerations?
What else should we know about the management of hernias in infants?
What should this child's disposition be?
1. The two main causes of painless infantile groin swelling are …
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