Large abdominoscrotal hydrocele: Uncommon surgical entity

Kamble, P M; Deshpande, Aparna; Thapar, Vinaykumar B.; Das, Krishanu

doi:10.1016/j.ijscr.2015.08.027

Cited by 8 publications

(7 citation statements)

References 8 publications

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“…This involves scrotal compression, leading to a transient shifting of fluid from the scrotum into the abdomen, after which the swelling spontaneously springs back into the scrotum once more. Transillumination, commonly used in the diagnosis of hydrocoeles, can also be utilised to demonstrate an hour-glass swelling in a darkened room [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Bilateral Abdominoscrotal Hydrocoele in a 10-Month-Old Infant Managed Laparoscopically

Shkoukani¹,

Aldhefeeri²,

Al-Taher³

2022

Cureus

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Abdominoscrotal hydrocoeles (ASH) are an increasingly rare form of hydrocoeles. They can present in any age group; however, they are more commonly reported in the paediatric population. Although not yet confirmed, the aetiology of ASH has been under scrutiny for the past two centuries, and scarcity of reported cases hinders this process. Clinical examination is oftentimes sufficient to make the diagnosis; however, confirmatory ultrasonography is recommended. Although old reports favoured a more conservative approach with watchful waiting, the risk of serious secondary complications is high, and surgical intervention is hence considered standard of care. Different approaches have been described, each with their own benefits, with minimally invasive surgery becoming more prevalent as of late. A case of a 10-month-old boy with bilateral ASH treated with a laparoscopic technique is presented.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Bilateral Abdominoscrotal Hydrocoele in a 10-Month-Old Infant Managed Laparoscopically

Shkoukani¹,

Aldhefeeri²,

Al-Taher³

2022

Cureus

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“…USG is the initial modality of investigation in which ASH appears as an anechoic homogeneous lesion and intercommunication can be delineated on graded compression during USG [1,6]. The CECT abdomen is required to prove definitive intercommunication and in complex cases.…”

Section: Discussionmentioning

confidence: 99%

“…The CECT abdomen is required to prove definitive intercommunication and in complex cases. Magnetic resonance imaging is required to detect vascular complication like deep vein thrombosis and for suspicion of malignant transformation [1,6].…”

Section: Discussionmentioning

confidence: 99%

Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling

Swarnkar¹,

Khan

2021

Case Reports in Urology

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Abdominoscrotal hydrocele (ASH) consists of fluid-filled intercommunicating inguinoscrotal and abdominal sac with a characteristic hourglass-like picture on CECT, which usually affects single testis and a rare cause of abdominoscrotal cystic swelling. The precise etiology of ASH is not known. Ultrasonography is the initial diagnostic modality of choice as it demonstrates the intercommunication between the two sacs and also identifies any abnormality of the testis and genitourinary tract. We are reporting a case of a 27-year-old patient presented in the General Surgery OPD of Acharya Vinoba Bhave Hospital in 2019 with bilateral scrotal and abdominal swelling. On examination, cross fluctuation was positive between left hydrocele and abdominal swelling, raising suspicion of ASH, which was confirmed on CECT. The patient underwent excision of sac through left inguinoscrotal approach and an uneventful postoperative course.

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“…Patients are generally asymptomatic, but ASH can have complications related to the compression of adjacent structures, such as hydronephrosis, hydroureter, testicular dysmorphism, testicular torsion, altered spermatogenesis, spontaneous rupture or hemorrhage and testicular malignant transformation [ 5 , 6 ]. As spontaneous resolution in cases of ASH is rare, early surgical intervention is recommended [ 4 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Giant Abdominoscrotal Hydrocele in Adult: A Rare Entity

Spessoto

Fontes

Beigin

et al. 2021

Cureus

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Abdominoscrotal hydrocele is an uncommon condition characterized by an hourglass-shaped scrotal hydrocele with an intra-abdominal component connected by an isthmus within the inguinal canal. We report a rare case of an adult patient with giant abdominoscrotal hydrocele. Despite recent trends toward less invasive treatments, in this case, the surgical approach through an inguinal incision was the better therapeutic option with a satisfactory outcome.

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Large abdominoscrotal hydrocele: Uncommon surgical entity

Cited by 8 publications

References 8 publications

A Rare Case of Bilateral Abdominoscrotal Hydrocoele in a 10-Month-Old Infant Managed Laparoscopically

A Rare Case of Bilateral Abdominoscrotal Hydrocoele in a 10-Month-Old Infant Managed Laparoscopically

Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling

Giant Abdominoscrotal Hydrocele in Adult: A Rare Entity

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