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Abdominoscrotal hydrocele in childhood: is it really a rare entity?
L Avolio1, G Chiari, M A Caputo
1Divisione di Chirurgia Pediatrica, IRCCS Policlinico San Matteo, Pavia, Italy.
Objectives:
Abdominoscrotal hydrocele (ASH) is an apparently highly uncommon clinical entity especially in childhood, with only about 80 pediatric cases reported in the modern literature.
Methods:
The incidence, diagnosis, and treatment of ASH are discussed with reference to 9 cases observed at our institution and to cases in the literature.
Results:
Surgical correction was successful in all our cases and no hydrocele or hernia recurrence was registered.
Conclusions:
ASH incidence appears to be higher than reported; undescended testis is a frequent association and surgical correction through an inguinal approach is always possible and curative. Ligation of the processus vaginalis may prevent recurrence.