The characteristic bulge in the groin which disappears at times and then recurs may not be present at the time of examination, however, and the surgeon may be compelled to rely on the description given by a competent observer. The most important aspect of the management of neonatal inguinoscrotal swellings relate to its risk of incarceration, strangulation which include gangrene of bowel, testis and ovaries. A prompt early and appropriate treatment is necessary to avoid various complications