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European Journal of Pediatric Surgery :... Jun 1993While hydrocele is among the commonest inguinal anomalies in children, less than 20 cases have been reported of its extreme form, the abdominoscrotal hydrocele (ASH)....
While hydrocele is among the commonest inguinal anomalies in children, less than 20 cases have been reported of its extreme form, the abdominoscrotal hydrocele (ASH). This anomaly consists of a large inguinoscrotal hydrocele which communicates in an hour-glass fashion with a large "intra-abdominal" component. The latter lies deep to the narrow internal inguinal ring, but superficial to the peritoneal cavity proper, which is displaced superiorly and medially. The abdominal component of the ASH thus lies latero- and retroperitoneally, sometimes reaching the lower pole of the kidney. We report five ASH in four children under one year old. All four underwent complete resection of the ASH. If the abdominal portion of the hydrocele can not be delivered through a standard approach, we advocate a properitoneal approach as described for recurrent adult hernias. The external oblique, internal oblique and transversalis muscles are divided horizontally above the level of the internal inguinal ring. The peritoneal cavity is retracted superiorly, separating it from the ASH. By decompressing the scrotal component of the ASH, its abdominal part can be emptied through the narrow communication at the internal ring. In this fashion, the processus vaginalis can be identified and ligated deep to internal ring, and the floor of the inguinal canal is left intact. The pathophysiology of ASH is not clear. A one-way valve effect of the patent processus vaginalis may be one cause of the massive accumulation of peritoneal fluid in the ASH. Complete resection is curative, and the properitoneal approach should be considered.
Topics: Humans; Infant; Male; Retroperitoneal Space; Scrotum; Testicular Hydrocele; Testis; Ultrasonography
PubMed: 8353121
DOI: 10.1055/s-2008-1063538 -
Journal of Pediatric Surgery Nov 1986Abdominoscrotal hydrocele is a very rare finding, especially in infants. The authors describe the case of a 7-month-old boy presenting an abdominoscrotal mass, the...
Abdominoscrotal hydrocele is a very rare finding, especially in infants. The authors describe the case of a 7-month-old boy presenting an abdominoscrotal mass, the diagnosis of which was made by sonography and which was excised totally through an extensive inguinal incision.
Topics: Abdomen; Humans; Infant; Male; Scrotum; Testicular Hydrocele
PubMed: 3794960
DOI: 10.1016/s0022-3468(86)80118-x -
Journal of Pediatric Surgery Feb 1987This report concerns the youngest case so far described in the world literature of abdominoscrotal hydrocele. Although this rare variant of hydrocele of the tunica...
This report concerns the youngest case so far described in the world literature of abdominoscrotal hydrocele. Although this rare variant of hydrocele of the tunica vaginalis was first described in 1834, only five cases have been recorded in childhood to date; our case represents the sixth.
Topics: Abdomen; Humans; Infant; Male; Scrotum; Testicular Hydrocele
PubMed: 3820021
DOI: 10.1016/s0022-3468(87)80443-8 -
Journal of the Royal Society of Medicine May 2003
Topics: Arthritis, Rheumatoid; Humans; Male; Middle Aged; Testicular Hydrocele
PubMed: 12724439
DOI: 10.1258/jrsm.96.5.239 -
PloS One 2023Opinions on the optimal age for surgical management of hydroceles in young boys are not uniform. Scrotal ultrasonography can be used to diagnose hydroceles and measure...
BACKGROUND
Opinions on the optimal age for surgical management of hydroceles in young boys are not uniform. Scrotal ultrasonography can be used to diagnose hydroceles and measure testicular size. A comparison of bilateral testicular size with hydrocele and the change in trend with age has not been reported. We therefore aimed to analyze the bilateral testicular size of children with unilateral non-communicating hydroceles and examine the correlation between age and testicular volume.
METHODS
Non-communicating hydrocele cases in children were included. Ultrasound results, age, and diagnose time were retrospectively recorded. The bilateral testicular size was compared, and the correlation between age and testicular volume was analyzed.
RESULTS
There were 138 cases of non-communicating hydrocele, ranging in age from 11 to 72 months. The diagnose time ranged from 3 days to 54 months. The volume of the testis on the side of the hydrocele was larger than that on the normal side (P < 0.001). Testicular length was not different bilaterally. Testicular width and height were greater on the hydrocele side than on the normal testicular side (P<0.001). Age was positively correlated with testicular volume on the normal side (P = 0.004) but not on the hydrocele side.
CONCLUSIONS
An important finding was that when the contralateral normal testicular volume increases with age, the testicular volume does not increase on the hydrocele side. This finding confirms the adverse effects of hydrocele on testicular growth and provides a basis for early treatment.
Topics: Male; Humans; Child; Infant; Child, Preschool; Testis; Retrospective Studies; Testicular Hydrocele; Scrotum; Ultrasonography
PubMed: 36595542
DOI: 10.1371/journal.pone.0279995 -
Annales D'urologie Aug 2004Surgery is the gold standard of hydrocele treatment; it is indicated in case of functional disorders. The two principal techniques are Lord's plication procedure, and... (Review)
Review
Surgery is the gold standard of hydrocele treatment; it is indicated in case of functional disorders. The two principal techniques are Lord's plication procedure, and excision. Main complications consist in potential haematoma and injury to epididymis, vas deferens or cord structures. Two other techniques exist, but with limited indications: fenestration which puts in contact the sac with lymph-rich subcutaneous tissues, and sclerotherapy.
Topics: Adult; Genitalia, Male; Hematoma; Humans; Male; Postoperative Complications; Sclerotherapy; Testicular Hydrocele; Urologic Surgical Procedures, Male
PubMed: 15485157
DOI: 10.1016/j.anuro.2004.05.002 -
International Urology and Nephrology Jul 2014Testicular dysmorphism (TD) associated with infantile abdominoscrotal hydrocele (ASH) may be due to the pressure effect of hydrocele on the testis or may be a...
Testicular dysmorphism (TD) associated with infantile abdominoscrotal hydrocele (ASH) may be due to the pressure effect of hydrocele on the testis or may be a developmental abnormality. Only a few reports are referred to the etiology of testicular changes in infantile ASH. We present an additional case of infantile ASH together with a review of the literature, focusing on insights into etiology of TD and its appropriate management.
Topics: Humans; Infant; Male; Scrotum; Testicular Hydrocele; Testis; Ultrasonography
PubMed: 24554219
DOI: 10.1007/s11255-014-0665-6 -
The Journal of Pediatrics Dec 2015
Review
Topics: Humans; Male; Physical Examination; Testicular Hydrocele; Transillumination
PubMed: 26409306
DOI: 10.1016/j.jpeds.2015.08.047 -
Urology Apr 2016A 55-year-old man was treated for Fournier gangrene in 2004 with radical debridement and bilateral testicular transposition to the medial thighs. Eight years later,...
A 55-year-old man was treated for Fournier gangrene in 2004 with radical debridement and bilateral testicular transposition to the medial thighs. Eight years later, bilateral hydroceles formed. After conservative measures failed for treatment of the hydroceles, the condition was treated during desired testicular relocation, and creation of a neoscrotum. In the case presented, bilateral thigh hydroceles may have developed from lymphatic injury during testicular transposition. To our knowledge, this is the first case report of bilateral hydrocele testis in the medial thigh pouches following ectopic testicular transposition.
Topics: Humans; Male; Middle Aged; Postoperative Complications; Testicular Hydrocele; Testis; Thigh; Urologic Surgical Procedures, Male
PubMed: 26801808
DOI: 10.1016/j.urology.2015.12.025 -
Archivos Espanoles de Urologia 1994Finding tumor cells in the fluid of hydrocele secondary to testicular tumor is rare and may be due to the fact that hydrocele fluid cytology has not been studied... (Review)
Review
Finding tumor cells in the fluid of hydrocele secondary to testicular tumor is rare and may be due to the fact that hydrocele fluid cytology has not been studied systematically. The presence of malignant cells in the hydrocele fluid may be ascribed to two mechanisms: retrograde lymphatic flow from the infiltrated retroperitoneal lymph nodes or from tumor directly invading the tunica albuginea and vaginalis testis, with cells passing into the cavity of the vaginalis. Only two cases of hydrocele secondary to testicular seminoma with vaginalis fluid cytology positive for malignant seminomatous cells have been previously reported in the literature. To our knowledge, the case reported herein is the third. These three cases are briefly discussed.
Topics: Adult; Humans; Male; Seminoma; Testicular Hydrocele; Testicular Neoplasms
PubMed: 8192503
DOI: No ID Found