Specialized abdominoscrotal hydrocele: Case report (CARE-compliant)
Ti-Xue Wang1, Ya-Long Ma2, Nuan Han1
1Department of Pediatric Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong Province, China.
Rationale:
Abdominoscrotal hydrocele (ASH) is a rare condition characterized by fluid-filled masses in the inguinal scrotal and abdominal components, and the understanding of this condition, especially its pathogenesis, remains incompletely transparent.
Patient Concerns:
The child, a 2-year-old boy, 4 days ago, no apparent cause of paroxysmal abdominal pain during the constipation symptoms, self-defecation after abdominal pain relief, occasional mild cough, no nausea and vomiting.
Diagnoses:
"Abdominal cavity occupation."
Interventions:
Laparoscopic exploration, the most prominent position of the cyst was opened with tissue scissors to cut the cyst wall extensively, the intra-abdominal purse-string suture was closed to close the internal ring opening on the affected side and tied with a knot.
Outcomes:
The child had no postoperative discomfort and was discharged from the hospital with no abnormalities on regular follow-ups and had returned to normal.
Lessons:
We reported a more unusual case with specific clinical manifestations that helped us to understand abdominoscrotal hydrocele further, and we conducted a systematic review of the relevant literature to provide an overview of the clinical manifestations, pathogenesis, diagnosis and treatment.
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