Abdominoscrotal hydrocele: A systematic review and proposed clinical grading

Abdominoscrotal Haematocele in an Adult and Its Successful Treatment

“…ASH is defined as hydrocele extending into the abdominal cavity-forming two intercommunicating compartments. 1 Dupuytren first described it in 1834, and it was called Dupuytren hydrocele or Hydrocele en-bisac. 1 Bickle in 1919 proposed a new term for hydrocele en-bisac called Abdominoscrotal Hydrocele.…”

“…1 Dupuytren first described it in 1834, and it was called Dupuytren hydrocele or Hydrocele en-bisac. 1 Bickle in 1919 proposed a new term for hydrocele en-bisac called Abdominoscrotal Hydrocele. 2 ASH is a rare entity and has been reported both in infants and old age.…”

“…The abdominal sac may be of variable size, as large as a football, and may be of variable shape. 1 Although the scrotal sac is of varying size but is usually small. These sacs can be unilocular or multilocular.…”

“…5 Roller hypothesized that encysted hydrocele of cord and ordinary hydrocele might form ASH; however, they did not explain the intercommunication between the sacs. 1 There are few other theories that have been proposed, but these have been less accepted. ASH can occur due to an extension of the preformed peritoneal sac extending into the scrotum through the inguinal canal.…”

“…Abdominoscrotal hydrocele (ASH) is defined as hydrocele extending into the abdominal cavity-forming two intercommunicating compartments. 1 ASH, also called hydrocele en-bisac, is a rare variant of a hydrocele that can occur commonly in the pediatric age group but rarely seen in the adult population. Patients are usually asymptomatic, or they can present with variable sized abdominoscrotal swelling.…”