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Cause
When a piece of bowel protrudes through a weakness in the muscle wall it produces a lump or hernia which is often visible. In normal development of the foetus, the channel between the abdomen and the groin closes off after the testes or female ligaments migrate downward. If this channel remains open, the bowel can protrude through causing a lump to appear in the groin.
Clinical features
A lump becomes apparent in the groin, usually on one side, and may be tender to touch. This hernia can become trapped (obstructed) and its blood supply impaired. If this happens, your child will complain of abdominal pain, in addition to crying and being very irritable. He may also vomit.
Surgery is generally the treatment of choice for inguinal hernias, due to the risk of them becoming obstructed. Children recover completely after this operation.
When to see your doctor
See your doctor immediately if you notice a swelling in your child’s groin.
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