Hernia

, Volume 15, Issue 2, pp 201–203 | Cite as

Abdominoscrotal hydrocele in a 9-month old infant

Case Report

Abstract

Abdominoscrotal hydrocele represents an uncommon condition, especially in childhood, resulting from the communication of a large scrotal hydrocele with the abdominal cavity through the inguinal canal. The disorder has been associated with a variety of pathological entities such as hydronephrosis, lymphedema, and malignancy of the tunica vaginalis. Diagnosis is made by physical examination and confirmed by abdominal ultrasound scan. Surgical correction, although complex, remains the optimal therapeutic option. The present article reports the case of a 9-month infant from Greece with abdominoscrotal hydrocele. Regardless of rarity, the disorder should be included in the differential diagnosis of scrotal and abdominal masses, as early diagnosis and surgical intervention may prevent the development of potential complications. The difficulty in establishing a preoperative diagnosis highlights the necessity for a physician to have a high level of familiarity with abdominoscrotal hydrocele and its possible complications. Awareness of this abnormality will ensure its prompt recognition and optimal management.

Keywords

Abdominoscrotal hydrocele Hydrocele Abdominal mass Infant 

Abbreviations

ASH

Abdominoscrotal hydrocele

CT

Computed tomography

MRI

Magnetic resonance imaging

References

  1. 1.
    Ghosh A, McNally J (1997) Unusual presentation of bilateral abdominoscrotal hydrocele in a child. J Pediatr Surg 32:1743–1744PubMedCrossRefGoogle Scholar
  2. 2.
    Avolio L, Chiari G, Caputo MA, Bragheri R (2000) Abdominoscrotal hydrocele in childhood: is it really a rare entity? Urology 56:1047–1049PubMedCrossRefGoogle Scholar
  3. 3.
    Klin B, Efrati Y, Mor A, Vinograd I (1992) Unilateral hydroureteronephrosis caused by abdominoscrotal hydrocele. J Urol 148:384–386PubMedGoogle Scholar
  4. 4.
    Krasna IH, Solomon M, Mezrich R (1992) Unilateral leg edema caused by abdominoscrotal hydrocele: elegant diagnosis by MRI. J Pediatr Surg 27:1349–1351PubMedCrossRefGoogle Scholar
  5. 5.
    Yarram SG, Dipietro MA, Graziano K, Mychaliska GB, Strouse PJ (2005) Bilateral giant abdominoscrotal hydroceles complicated by appendicitis. Pediatr Radiol 35:1267–1270PubMedCrossRefGoogle Scholar
  6. 6.
    Velasco AL, Ophoven J, Priest JR, Brennom WS (1998) Paratesticular malignant mesothelioma associated with abdominoscrotal hydrocele. J Pediatr Surg 23:1065–1067CrossRefGoogle Scholar
  7. 7.
    Chamberlain SA, Kirsch AJ, Thall EH, Emanuel ER, Hensle TW (1995) Testicular dysmorphism associated with abdominoscrotal hydroceles during infancy. Urology 46:881–882PubMedCrossRefGoogle Scholar
  8. 8.
    Bickle LW (1919) Abdominoscrotal or bilocular hydrocele. BMJ 2:13–14CrossRefGoogle Scholar
  9. 9.
    Dupuytren G (1834) Lecons orales de clinique chirurgicale. Baliere, ParisGoogle Scholar
  10. 10.
    Cuervo JL, Ibarra H, Molina M (2009) Abdominoscrotal hydrocele: its particular characteristics. J Pediatr Surg 44:1766–1770PubMedCrossRefGoogle Scholar
  11. 11.
    Saharia PC, Bronsther B, Abrams MW (1979) Abdominoscrotal hydrocele. Case presentation and review of the literature. J Pediatr Surg 14:713–714PubMedCrossRefGoogle Scholar
  12. 12.
    Wlochynski T, Wassermann J, Generowicz Z (1993) Abdominoscrotal hydrocele in childhood. J Pediatr Surg 28:248–250PubMedCrossRefGoogle Scholar
  13. 13.
    Park J, Gioia K, Wasnick RJ (2009) Abdominoscrotal hydrocele in infancy with incorporated epididymal tissue. J Pediatr Urol. doi:10. 1016/j.jpurol.2009.06.008
  14. 14.
    Cozzi DA, Mele E, Ceccanti S, Pepino D, d’Ambrosio G, Cozzi F (2008) Infantile abdominoscrotal hydrocele: a not so benign condition. J Urol 180:2611–2615PubMedCrossRefGoogle Scholar
  15. 15.
    Estevão-Costa J, Morgado H, Soares-Oliveira M, Campos M, Carvalho JL (2005) Hemorrhagic abdominoscrotal hydrocele. A challenging entity. J Pediatr Surg 40:731–733PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • E. Blevrakis
    • 1
  • D. I. Anyfantakis
    • 1
  • G. Sakellaris
    • 1
  1. 1.Department of Pediatric SurgeryUniversity General Hospital of HeraklionCreteGreece

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