A 5-Month-Old Boy Is Brought to the Office for Right-Sided

A 5-month-old boy is brought to the office for right-sided scrotal enlargement.  The enlargement has been present since birth and increases when he cries or strains to pass a bowel movement.  There is no history of trauma or infection.  The boy's parents do not believe he is in pain and have not noted discoloration of the area.  On ultrasonography, the enlargement is found to be a fluid collection around the right testis.  The specific embryologic defect giving rise to this patient's condition can also lead directly to which of the following?

A) Direct inguinal hernia
B) Femoral hernia
C) Hypospadias
D) Indirect inguinal hernia
E) Orchitis
F) Testicular torsion

Correct Answer:

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