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Abdominoscrotal hydrocele: A case report.
Mitra Khalili1, Mehdi Gholamzadeh Baeis2, Mohsen Rouzrokh3
1Department of Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology Case Reports
|June 4, 2020
Summary
Abdominoscrotal hydrocele (ASH) is a rare condition where the hydrocele extends into the abdomen. This case highlights a missed diagnosis post-herniorrhaphy in a pediatric patient.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Imaging
Background:
- Abdominoscrotal hydrocele (ASH) is an exceptionally rare condition characterized by a hydrocele sac extending from the scrotum into the abdomen via the inguinal canal.
- The precise etiology of ASH remains controversial, with limited established theories.
- This condition requires accurate diagnosis and timely management, particularly in pediatric cases.
Observation:
- A one-year-old boy presented with a slow-growing lower abdominal mass.
- The patient had a history of right-sided herniorrhaphy performed one month prior to presentation.
- Clinical examination and diagnostic imaging, including ultrasound and CT scan, were utilized for evaluation.
Findings:
- The diagnostic workup confirmed a large abdominoscrotal hydrocele.
- Imaging revealed the significant extension of the hydrocele into the abdominal cavity.
- Surgical confirmation of the missed abdominoscrotal hydrocele was established during the operation.
Implications:
- This case underscores the importance of considering rare diagnoses like ASH, even after prior abdominal surgery.
- Accurate and timely diagnosis through advanced imaging is crucial for effective management of pediatric abdominoscrotal hydrocele.
- Highlighting potential diagnostic challenges in pediatric abdominoscrotal hydrocele, especially in the context of prior surgical interventions.
