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enlarged scrotum
a friend has a scrotum the size of a large grapefruit,what could cause that?
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could be a hydrocele, hernia, or one of any number of other conditions.  Tell your friend to get it checked out.  Here you can find some conditions that present with scrotal swelling:

http://www.nlm.nih.gov/medlineplus/ency/article/003161.htm
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