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Updated: Mar 17, 2026

Grade III Varicocele Surgical Treatment using Spermatic Vein-Superficial Abdominal Vein Shunt

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The abdominoscrotal hydrocele

F I Luks¹, S Yazbeck, Y Homsy

¹Department of Surgery, Hôpital Sainte-Justine, Université de Montréal, Quebec, Canada.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|June 1, 1993

Summary

Abdominoscrotal hydrocele (ASH) is a rare inguinal anomaly in children. A properitoneal approach is recommended for complete resection when the abdominal component is difficult to access via standard methods.

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Area of Science:

Pediatric Surgery
Urology
Anatomical Abnormalities

Background:

Hydrocele is a common pediatric inguinal anomaly.
Abdominoscrotal hydrocele (ASH) is an extreme, rarely reported form.
ASH involves a large inguinoscrotal component with a deep abdominal portion.

Observation:

The study reports five cases of ASH in four infants under one year old.
All patients underwent complete resection of the abdominoscrotal hydrocele.
A novel properitoneal approach was utilized for cases where standard resection was challenging.

Findings:

The properitoneal approach allows access to the abdominal component of ASH by dividing abdominal wall muscles horizontally.
This technique facilitates decompression of the scrotal hydrocele, enabling delivery of the abdominal portion through the internal inguinal ring.
The processus vaginalis can be ligated deep to the internal ring, preserving the inguinal canal floor.

Implications:

Complete resection of ASH is curative.
The properitoneal approach offers a viable surgical option for complex abdominoscrotal hydrocele cases.
Understanding the pathophysiology, potentially involving a one-way valve effect in the processus vaginalis, is crucial for managing ASH.