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Abdomino-scrotal hydrocele in 35 years old: a case report
S K Tiwary1, S Kumar, A Agarwal
1Department of General surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Insights
Abdomino-scrotal hydrocele, a condition typically seen in children, can rarely occur in adults. This case highlights an unusual presentation in a 35-year-old male with a large abdominal and scrotal cystic mass.
Area of Science:
- Urology
- Pediatric Surgery
- Adult Case Reports
Background:
- Abdomino-scrotal hydrocele is characterized by fluid accumulation within the tunica vaginalis, extending from the abdomen into the scrotum.
- While predominantly a pediatric condition, adult presentations are exceptionally rare and often present with subtle symptoms.
Observation:
- A 35-year-old male presented with a significant, asymptomatic cystic abdominal mass.
- The mass extended inferiorly, involving the scrotal sac, indicating a large abdomino-scrotal hydrocele.
Findings:
- This case represents an atypical occurrence of abdomino-scrotal hydrocele in adulthood.
- The clinical presentation was dominated by a large cystic mass without significant discomfort.
Implications:
- Highlights the importance of considering rare diagnoses in adult patients with large abdominal masses.
- Suggests that abdomino-scrotal hydrocele, though uncommon in adults, requires clinical awareness for accurate diagnosis and management.
- Underscores the need for further research into the etiology and presentation of adult abdomino-scrotal hydrocele.
Abstract:
Abdomino-scrotal hydrocele is a condition usually affecting children. It is unusual to find an abdomino-scrotal hydrocele in middle aged adult. Most of the patients are asymptomatic except cystic abdominal mass and discomfort occasionally. We hereby report an unusual presentation of abdomino-scrotal hydrocele at age of 35 years and presenting as large cystic abdominal mass extending into scrotum.
