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.
Abdominoscrotal hydrocele Hydrocele Abdominal mass Infant
Magnetic resonance imaging
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Ghosh A, McNally J (1997) Unusual presentation of bilateral abdominoscrotal hydrocele in a child. J Pediatr Surg 32:1743–1744PubMedCrossRefGoogle Scholar
Avolio L, Chiari G, Caputo MA, Bragheri R (2000) Abdominoscrotal hydrocele in childhood: is it really a rare entity? Urology 56:1047–1049PubMedCrossRefGoogle Scholar
Klin B, Efrati Y, Mor A, Vinograd I (1992) Unilateral hydroureteronephrosis caused by abdominoscrotal hydrocele. J Urol 148:384–386PubMedGoogle Scholar
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