What is the cause of a hard lump in the scrotum of a 7-year-old boy that is small on one side and large on the other?

7 years old boy scrotum difference is obvious, the big side has a hard lump need to consider testicular sheath effusion, inguinal hernia, epididymitis or even testicular tumor may.
1. Testicular syringomyelia: between the testicle and testicular sheath membrane if there is too much fluid will lead to scrotal enlargement, in this case ultrasound examination can be clear, and transillumination test is positive.
2. Inguinal hernia: in some patients with inguinal hernia, the hernia sac may enter into the scrotum, thus manifesting itself as an enlarged scrotum with a hard lump on touch and a negative transillumination test.
3. Epididymitis: patients with epididymitis will also show scrotal enlargement, but patients are often accompanied by obvious pain, redness and swelling of the scrotum, and need timely anti-infection treatment.
4. Testicular tumor: Testicular tumor can also lead to obvious enlargement of testicles, accompanied by hard lumps. If necessary, it needs active surgical treatment.
Overall, if you find that your child’s scrotum size is significantly different, you need to pay attention to it, go to the hospital in time for examination, and carry out targeted treatment after clarifying the cause of the disease.