Testicular and scrotal conditions Quiz: Ace Your Exams

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A 10-day-old boy is brought to his primary pediatrician for his first newborn evaluation. Since birth, he has had persistent swelling of his scrotum. He was born at 39 weeks gestation following an uncomplicated vaginal delivery. He has been breastfeeding multiple times throughout the day and is making 8-9 wet diapers a day with normal stooling. Vitals are within normal limits. Physical examination reveals bilateral descended testicles that are palpable in the scrotum. There is a visibly enlarged, fluctuant left hemiscrotum. A penlight is held behind the left hemiscrotum, which demonstrates transillumination. Which of the following best describes the underlying etiology of this patient’s condition?

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Patent processus vaginalis with peritoneal communication

Excessive production of fluid from the tunica vaginalis

Bowel protrusion through the inguinal canal

Impaired lymphatic drainage of scrotal structures

Malignant proliferation of testicular germ cells