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4 year old boy is brought into A+E by his parents as he has started vomiting and is complaining of abdominal pain
The abdominal pain has come intermittently in the past but is now acutely worsening. He does not complain of pain on passing urine.
There is generalised tenderness that is worse on palpation in the inguinal region. On palpation, there is a mass in the right inguinal region.
remasteric reflex is present and Prehn’s test is negative. The mass is not reducible and bowel sounds are heard on auscultation over the mass.
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