Abdominoscrotal hydrocele: its particular characteristics

Massive Abdominoscrotal Hydrocele

“…Dupuytren first described the phenomenon of abdominoscrotal hydrocele in 1834, which he termed ‘‘I'hydrocoele en bissac” [1]. Since that time cases of ASH, especially bilateral ASH, have rarely been published.…”

“…ASH is generally benign, and is characterized by a scrotal hydrocele in communication with an abdominal component through the inguinal canal [1,2]. The diagnosis for ASH is made clinically through bimanual palpation.…”

“…Bilateral abdominoscrotal hydrocele (ASH) is a very rare clinical finding, characterized by a scrotal hydrocele communicating in an hourglass fashion with an abdominal component through the inguinal canal [1,2]. Most previous reports describe unilateral ASH in the pediatric population.…”

Both-sided Large Abdominoscrotal Hydrocele Associated with Testicles Atrophy

“…In the light of these facts, surgical treatment is preferable type of treatment for patients with abdominoscrotal hydrocele, because the approach is the least invasive, post-operative complications are rare, and eventual consequences associated with abdominoscrotal hydrocele are avoided (3,15). …”

“…It is assumed that ASH occurs by the formation of scrotal hydrocele, under the influence of higher fluid pressure in it, propagating through ingvinal channel into abdominal cavity during the first few months of life (3). Abdominoscrotal hydrocele is not a benign condition, because complications such as acute appendicitis, testicular dismorphysim, ureterohydronephrosis and paratesticular malignity have been described earlier (4).…”