Testicular dysmorphism associated with abdominoscrotal hydroceles during infancy

Hemorrhagic abdominoscrotal hydrocele. A challenging entity

“…Based upon the presence of testicular dysmorphism, it has been suggested that ASH can adversely affect spermatogenesis because of the direct effect of pressure on the testis parenchyma or blood flow [10]. So far, the present case has not developed gross morphologic testicular changes; despite delayed preoperative evolution, the tense scrotal hydrocele was probably an acute event related to hemorrhage.…”

“…Although inguinal [3,6,10], properitoneal [2], or even scrotal [11] approaches have been advocated for surgical correction of ASH, we decided to perform a laparotomy based not so much on the giant appearance of the abdominal portion but mainly on the inability to exclude malignancy [12,13]. The presence of septa and solid component on the current case led us to consider malignant mesothelioma, an entity that may develop in a chronic ASH [14], and raised the possibility that scrotal hydrocele might be secondary to enteric or mesenteric cyst, lymphangioma, teratoma, or pelvic neuroblastoma [7,14]; however, ultimate diagnosis was ASH, the solid component being because of intralesional hemorrhage, a complication not previously recorded.…”

Early Diagnosis and Management of Neonatal Abdominoscrotal Hydroceles

“…The progressive enlargement of the hydrocele sac can be extensive and reach the level of the kidney [5]. Testicular dysmorphism has been found in both of the present cases and has become increasingly associated with ASHs [1,6]. The long-term functional effects of testicular dysmorphism in the developing testicles are not known.…”

“…The exact mechanism by which ASH develops remains unknown [1]. ASHs differ from simple congenital hydroceles in their rapidly progressing size.…”

Radiologic findings of a giant unilateral abdominoscrotal hydrocele associated with undescended testis

“…Several complications of ASH have been reported in the literature such as hydroureteronephrosis [7], lymphedema [8], testicular dismorphism [9], and appendicitis [10]. Only a few cases of ASH associated with undescended testis have been reported in the literature to date [2,3].…”