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.
Insights
Abdominoscrotal hydrocele (ASH) is a rare condition. This case report details a successful laparoscopic treatment for a pediatric patient, enhancing understanding of ASH pathogenesis and management.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Abdominoscrotal hydrocele (ASH) is a rare congenital condition involving fluid accumulation in both abdominal and scrotal cavities.
- The exact pathogenesis of ASH remains incompletely understood, necessitating further clinical investigation.
Purpose of the Study:
- To report an unusual case of abdominoscrotal hydrocele in a pediatric patient.
- To enhance the understanding of ASH clinical manifestations, pathogenesis, diagnosis, and treatment through a case report and literature review.
Main Methods:
- A 2-year-old boy presenting with abdominal pain and constipation was diagnosed with abdominoscrotal hydrocele.
- Surgical intervention involved laparoscopic exploration and repair, including cyst excision and closure of the internal ring.
Main Results:
- The patient experienced an uncomplicated postoperative recovery and was discharged.
- Follow-up assessments confirmed the absence of abnormalities and a return to normal function.
Conclusions:
- This case highlights specific clinical features of ASH, contributing to a broader understanding of the condition.
- A systematic literature review provides a comprehensive overview of ASH, aiding in clinical decision-making.
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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