A 2-Week-Old Boy Is Brought to the Office for His

A 2-week-old boy is brought to the office for his first newborn evaluation.  The boy has had persistent swelling of his left scrotum, but there has been no noticeable discomfort.  Review of birth records indicates that the patient was born at 37 weeks gestation after an uncomplicated vaginal delivery.  He has been breastfeeding well with normal voiding and stooling.  Physical examination shows bilateral descended testicles with an enlarged, fluctuant left hemi-scrotum that transilluminates brightly.  No inguinal or abdominal masses are present.  The most likely cause of this patient's condition is a swelling in which of the following locations?

A) Caput of the epididymis
B) Cremasteric fascia
C) External spermatic fascia
D) Internal spermatic fascia
E) Pampiniform plexus
F) Tunica albuginea
G) Tunica vaginalis

Correct Answer:

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