Suspect an inguinal hernia in your baby if you notice:
This page gives general information on hernias in the groin (inguinal region) and on other causes of a swollen testes in boys.
It is a hernia in the groin or scrotum - sometimes called a scrotal hernia.
A hernia occurs when an organ pushes through to somewhere it is not supposed to be.
A hernia in the inguinal (groin) region occurs when some bowel from the abdomen pushes through into the groin (scrotum).
Right inguinal hernia
Left inguinal hernia
An inguinal hernia can look like a swollen testicle (testes) or it can look like a swelling in or above the groin.
The photo on the left shows a swelling above the groin on the baby's right side.
The right side photo shows a hernia on the left side - you can see the testes is swollen and the swelling extends into the groin.
Other causes of a swollen scrotum or swollen testes (testicle) are given at the bottom of the page - click here.
Hernias in the inguinal region usually occur in boys. The tissue that separates the abdominal contents from the groin contents (ie. the testicles etc in the scrotum) has a small opening (the inguinal ring) that lets blood vessels and nerves pass through. Sometimes, the tissue around this small ring is weak and bowel can push it's way through as well.
If the hernia occurs somewhere where the bowel has to squeeze through (like the inguinal ring) but then it has room to expand (like in the scrotum) it can get stuck. If the bowel just moves into the scrotum and back out, it isn't a problem. If it gets stuck, it is a problem - we call that a strangulated hernia.
If the bowel gets stuck, eventually the blood supply to the bowel will not be able to get through. Without a good blood supply, the bowel may die. If the bowel wall dies, contents leak out - this is a perforated bowel. It can be life-threatening.
A baby with an inguinal hernia will have a swollen, firm scrotum. Sometimes, you may just notice that the scrotum is occasionally swollen and at other times, it isn't. This is probably a case where the hernia can slip back and forward. Your baby doesn't need an urgent operation but he will need to see a surgeon to get this fixed. See your doctor soon.
If the bowel is stuck in the groin, this can cause a blockage - this can cause babies to vomit. It is painful so babies cry. Crying means it is more difficult for the hernia to reduce (for the bowel to go back where it belongs) because crying increases the pressure in the abdomen. The scrotum will look very tense and may be red.
Try and keep your baby calm - crying only makes it worse. Try putting a cushion under your baby's bottom and keep his legs up - this is to get gravity to help put the hernia back. Call your doctor and arrange to get to a hospital. Your baby is likely to need an urgent operation.
For an experienced surgeon, this is a minor operation. Usually mesh is put over the weakness at the inguinal ring to stop any bowel from getting through. Babies tolerate this surgery very well.
Not usually. Sometimes girls can get a hernia into the groin - just in the crease at the hip on the top of the leg. This is usually called a femoral hernia. If a girl had one of these on both sides, we would investigate further as it's an unusual situation.
A swollen testicle (testes) can be due to:
Last reviewed 26 May 2011
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