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Related Concept Videos

Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

339
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
339

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Updated: Jun 16, 2025

Combination of High Ligation and Intraoperative Embolization using Polidocanol for Treatment of Varicoceles
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Abdominoscrotal Hydrocele - Considerations.

Kokilavani Mahalingam1, Lakshmi Sundararajan1

  • 1Department of Paediatric Surgery, Childs Trust Medical Research Foundation, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India.

Journal of Indian Association of Pediatric Surgeons
|August 16, 2024
PubMed
Summary
This summary is machine-generated.

Abdominoscrotal hydrocele (ASH) is rare but manageable. An inguinal approach is effective for treating ASH and associated patent processus vaginalis (PPV) to prevent recurrence.

Keywords:
Abdominal sacabdominoscrotal hydrocelepatent processus vaginalis

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Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Abdominoscrotal hydrocele (ASH) is an uncommon condition involving fluid accumulation extending from the scrotum into the abdomen.
  • Early diagnosis and appropriate management are crucial for favorable outcomes.

Purpose of the Study:

  • To elucidate the pathology, clinical presentation, and management strategies for abdominoscrotal hydrocele (ASH).

Main Methods:

  • Retrospective analysis of eight pediatric cases of ASH diagnosed between 2015 and 2022.
  • Data collection included demographics, clinical findings, diagnostic investigations, surgical procedures, and postoperative outcomes.

Main Results:

  • Presentations ranged from 11 months to 2.5 years, with most cases on the right side.
  • Physical examination and ultrasound aided diagnosis; 50% of abdominal components were identified preoperatively.
  • All patients underwent inguinal exploration, hydrocele sac management, and ligation of associated patent processus vaginalis (PPV) in 87% of cases, with no recurrences.

Conclusions:

  • ASH requires prompt identification and management.
  • Physical examination and ultrasonography are key diagnostic tools.
  • The inguinal approach is a safe and effective method for ASH, with careful exploration for PPV essential to prevent recurrence.