男患儿,2岁,右侧腹股沟区及右侧阴囊内可复性肿物2年,未经诊治。入院前16小时哭闹后肿物复现,未能自行回复家人用手按揉亦不能送复,且患儿拒触,哭闹,恶心呕吐,无大便,尿少。因交通不便,发病后16小时始来院就诊。 入院时情况:患儿哭闹:无贫血及脱水外观,腹略膨隆,无腹膜刺激征,肠呜音亢进。局部查体,右阴囊鸡卵大小,淡青色,触及张力高,阴囊透光 Male children, 2 years old, right groin area and the right side of the scrotum can be recoverable 2 years without treatment. 16 hours before admission crying after the recurrence of the tumor, failed to reply to their families by hand rubbing can not be sent, and children refuse touch, crying, nausea and vomiting, no stool, oliguria. Due to traffic inconvenience, 16 hours after the onset of hospital treatment. Admission conditions: Children crying: no anemia and dehydration appearance, bulging abdomen, no signs of peritoneal irritation, bowel sounds hyperthyroidism. Local physical examination, right scrotum egg size, light green, touching high tension, scrotal light