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Published on: December 22, 2023
Nonoperative management of abdominoscrotal hydroceles in an infant
Christopher C De Renzo1, Joseph G Barone
1Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Insights
Spontaneous resolution of infant abdominoscrotal hydrocele is rare but possible. A 6-month-old boy
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Infant abdominoscrotal hydrocele typically requires early surgical intervention.
- Spontaneous resolution of this condition has not been previously documented.
Observation:
- A 6-month-old boy presented with bilateral abdominoscrotal hydrocele.
- He had a co-existing hematologic condition precluding immediate surgery.
Findings:
- The abdominal component of the bilateral hydroceles spontaneously resolved after one year.
- The patient was left with simple bilateral scrotal hydroceles.
Implications:
- This case suggests that spontaneous resolution of the abdominal portion of abdominoscrotal hydroceles may occur.
- It highlights the potential for delayed surgical intervention in select cases.
- Further investigation into the natural history of abdominoscrotal hydrocele is warranted.
Abstract:
Early surgery is recommended for infant abdominoscrotal hydrocele because spontaneous resolution has not been reported. We present a 6-month-old boy with bilateral abdominoscrotal hydrocele, who did not undergo surgery because of a hematologic condition. After 1 year, the abdominal portion of both hydroceles resolved, leaving simple bilateral scrotal hydroceles.

