Differential diagnosis of groin swellings

Inguinal	Inguinoscrotal	Femoral	Inguinofemoral	Scrotal
Inguinal hernia	Inguinal hernia	Femoral hernia	Inguinal lymph nodes	Skin: boils, sebaceous cysts, papillomas, warts
Lymph nodes	Hydrocele: encysted hydrocele of the cord, infantile hydrocele, hydrocele of the hernia sac	Lymph nodes	Distended psoas bursa	Subcutaneous tissue: lymph scrotum, filariasis Tunica vaginalis: hydrocele, pyocele, hematocele, chylocele
Encysted hydrocele of the cord	Spermatic cord: varicocele, funiculitis, lymph varix, diffuse lipoma of the cord, hematoma of the cord	Saphena varix	Effusion in the hip joint	Testis: Orchitis (acute/chronic), neoplasms
Undescended testis	Testis: undescended, ectopic testis	Ectopic testis		Epididymis: cysts, acute or chronic infections
In females or pregnant women: round ligament varicoses				Spermatic cord: varicocele, lymph varix

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