?pseudo hernia: Your are correct that most scrotal involvement in hernias results from progressive movement of the inguinal hernia into the scrotal sac. However, there is a condition wherein the left testical has a varicocele wherein the venous return from the testical is blocked by the renal artery, causing swelling that appears as if it were a hernia. Also hydrocele can occur from fluid build up.
Answered 6/10/2017
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