A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful on palpation. The left inguinal canal is without masses. The mass transilluminates with a penlight. This collection of symptoms is consistent with:
a. orchitis.
b. a hydrocele.
c. a rectocele.
d. a scrotal hernia.
B
A hydrocele is a soft scrotal mass that occurs as a result of fluid accumulation and therefore tran-silluminates. Orchitis results in a swollen, tender testis. A rectocele does not result in scrotal swelling. A scrotal hernia would also be palpable along the inguinal canal.
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