 [ Symptoms ] how can a hernia be mistaken for a testicular disease [ Disease ] hernias are sometimes mistaken for testicular disease when a lower part of the abdominal wall muscles are weak part of the intestine can bulge through it when the intestine pushes into the scrotum it is called an inguinal hernia    although the scrotum swells and it can appear to be a testicular problem the solution is surgery to fix the weak part of the abdominal wall