Abdominoscrotal hydrocele: when one sac becomes bissac

Virgilio, Edoardo; Mercantini, Paolo; Tallerini, A; Caterino, Salvatore

doi:10.1111/ans.13188

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Generally, it presents unilaterally with an equal distribution, but rarely can be found to be bilateral 6 14. The abdominal component is usually larger than the scrotal counterpart 13. The widened internal ring may be associated with an inguinal hernia 15…”

Section: Discussionmentioning

confidence: 99%

Abdominoscrotal hydrocele in an infant boy

Costantino¹,

Ganesan

Plaire

2017

BMJ Case Reports

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Abdominoscrotal hydrocele (ASH) is the rarest type of hydrocele. This condition is characterised by a large abdominal and scrotal component connected by an isthmus within the inguinal canal. The incidence among the paediatric population is reported to be less than 3%, although it might be underdiagnosed. Several theories have been proposed in the literature but the aetiology of ASH remains unknown. Diagnosis can be made clinically and confirmed by ultrasound. Spontaneous resolution is rare and long-standing ASH may lead to complications, thus early surgical intervention is recommended. Different techniques have been described, but dissection remains challenging due to the tunica vaginalis adherence to the testis and the distal cord. We present a male infant with ASH who underwent inguinal repair. The procedure was facilitated by needle decompression of the mass. Identification and preservation of the vessels and vas deferens was done successfully without compromising the testis.

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Section: Discussionmentioning

confidence: 99%

Abdominoscrotal hydrocele in an infant boy

Costantino¹,

Ganesan

Plaire

2017

BMJ Case Reports

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“…11 Positive transillumination is also indicated and is a hallmark of the clinical diagnosis of ASH. 12 USG is first demonstrated but, CT and magnetic resonance imaging (MRI) are used for a confirmatory diagnosis. 13…”

Section: Clinical Presentationmentioning

confidence: 99%

“…16 The theories of Dupuytren, Roller, and Jacobson propose an upward extension of the scrotal hydrocele. 9,12,14 On the other hand, Maceben, Sasidharan et al, and Guibe postulate the intra-abdominal component's downward extension 15,17,18 Saharia et al and Khorasani et al proposed the flap-valve mechanism as a possible explanation. 16,19 Many other theories have been postulated but the most widely accepted theory is Dupuytren's original theory of high intracystic pressure in the scrotal component that leads to cephalad extension through the musculofascial inguinal canal and formation of the abdominal sac.…”

Section: Pathogenesismentioning

confidence: 99%

A case series of adult abdominoscrotal hydrocele: A rare condition

Arpit Agrawal,

Mansi Agrawal,

Saranshi Shrivastava

et al. 2024

Asian J Med Sci

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Abdominoscrotal hydrocele (ASH) is a relatively rare variant of hydrocele in both adult and pediatric populations. The incidence among adults is <1% of other types of hydroceles, which are different from most cases related to persistent processus vaginalis. It presents as a dumbbell-shaped cystic collection with cross-fluctuation in the abdominoscrotal region and the inguinal canal acting as the rod connecting two masses. The abdominal swelling could be retroperitoneal or intraperitoneal. Clinical examination can lead to a suspected diagnosis of ASH, but confirmation relies on ultrasonography and computed tomography. Spontaneous resolution of ASH has been unlikely, and hence surgical intervention is recommended. In this study, we present three cases with ASH who underwent surgical repair using different methods.

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Abdominoscrotal hydrocele: A systematic review and proposed clinical grading

Gadelkareem

2018

African Journal of Urology

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Abdominoscrotal hydrocele: when one sac becomes bissac

Abstract: n/

Cited by 3 publications

References 9 publications

Abdominoscrotal hydrocele in an infant boy

Abdominoscrotal hydrocele in an infant boy

A case series of adult abdominoscrotal hydrocele: A rare condition

Abdominoscrotal hydrocele: A systematic review and proposed clinical grading

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