Inguinoscrotal and inguinolabial swelling in infancy: Role of ultrasound

Abstract

Objectives: Inguinoscrotal and inguinolabial swellings are common findings in infancy. In this study, color Doppler ultrasonography was used to identify the different etiologies of inguinoscrotal and  inguinolabial swelling, thus helping to decide on the optimal management.
Patients and methods: 150 infants with a history of intermittent swelling or presenting with a palpable swelling in the inguinoscrotal or inguinolabial region were included in the study. All patients were  subjected to color Doppler ultrasound examination in supine position.
Results: Out of 135 male infants with inguinoscrotal swelling 119 were found to have chronic, 16 acute and 14 bilateral swelling. Out of 15 female infants, 12 were found to have chronic and 3 acute inguinolabial swelling.
Conclusion: Color Doppler ultrasonography is an accurate, safe and readily available imaging modality which can be used to identify different etiologies of inguinoscrotal and inguinolabial swelling in infants.

KEYWORDS: Pediatric; Scrotum; Hydrocele; Hernia; Ultrasound