A term neonate has scrotal swelling that transilluminates brightly, with the swelling extending into the inguinal canal. The testis is palpable separately within the swelling. What is the most likely diagnosis?
- A Non-communicating hydrocele
- B Communicating hydrocele ✓
- C Inguinal hernia
- D Testicular torsion
Correct answer: B. Communicating hydrocele
Explanation
Extension of the fluid collection into the inguinal canal implies patency of the processus vaginalis, making it a communicating hydrocele, which may fluctuate in size and carries a higher association with inguinal hernia than a non-communicating hydrocele confined to the scrotum. An incarcerated hernia does not transilluminate and the testis cannot be palpated separately.
Reference: Pediatric Surgery NaT / Bailey and Love, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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