A challenging abdomino-scrotal hydrocele-successful resolution with the help of interventional radiology guided...

Area of Science:

• Pediatric Surgery
• Interventional Radiology
• Urology

Background:

• Abdomino-scrotal hydrocele is a rare congenital condition in male infants.
• Current treatment strategies lack definitive consensus in medical literature.
• Persistent hydroceles pose a diagnostic and therapeutic challenge.

Observation:

• A 4-year-old boy presented with a persistent congenital hydrocele.
• Initial surgical interventions, including patent processus vaginalis ligation and Jaboulay procedure, were unsuccessful.
• Magnetic Resonance Imaging revealed a significant intra-abdominal component.

Findings:

• Laparoscopic excision of the intra-abdominal hydrocele component was performed.
• Despite surgical success, the scrotal hydrocele persisted post-operatively.
• Two sessions of image intensifier guided sclerotherapy led to complete resolution.

Implications:

• This case highlights the complexity of abdomino-scrotal hydroceles.
• Image-guided sclerotherapy presents a viable, minimally invasive treatment option for refractory cases.
• Further research into optimal management strategies for this rare condition is warranted.