A 25-year-old man developed a swelling above the medial end of the right inguinal ligament. It was associated with a dull, aching pain, bit it did not expand on coughing. On palpation, the swelling appeared to fluctuate, and on grasping the right testis through the scrotal wall and gently pulling it inferiorly, the swelling moved medially along the inguinal canal. What was the swelling? Why did it move with the testis?
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