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Abdominoscrotal hydrocele. Case presentation and review of the literature
Insights
Abdominoscrotal hydrocele is a rare condition in children, with only three reported pediatric cases. This case highlights a 5-month-old male with communicating abdominal and scrotal masses successfully treated with surgery.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Case Reports
Background:
- Abdominoscrotal hydrocele, a rare condition, is infrequently documented in pediatric patients.
- Literature review reveals a scarcity of pediatric cases, with only three previously reported.
Observation:
- A 5-month-old male infant presented with abdominal and scrotal masses observed over 4-6 weeks.
- The abdominal mass measured 12 x 8 cm, and the scrotal mass measured 3 x 5 cm.
- Both masses were cystic and appeared to communicate.
Findings:
- Diagnostic work-up confirmed abdominoscrotal hydrocele in the pediatric patient.
- Surgical excision was performed via an inguinal crease incision.
Implications:
- This case adds to the limited literature on pediatric abdominoscrotal hydrocele.
- Successful surgical management in infants underscores the importance of prompt diagnosis and intervention.
- Further research may elucidate the etiology and optimal management strategies for this rare condition in children.
Abstract:
Abdominoscrotal hydrocele has been known for over a century although it rarely has been reported in children. A review of the world literature revealed 84 such cases, only three cases in the pediatric age group. Our patient, a 5-mo old male, presented with abdominal and scrotal masses of 4 to 6 wk duration. The abdominal mass measured 12 x 8 cm. The scrotal mass, which clinically seemed to be a hydrocele, measured 3 x 5 cm. Both masses appeared cystic and communicated. Diagnostic work-up clearly established the diagnosis. Complete surgical excision was accomplished through an inguinal crease incision.