Testicular dysmorphism in infantile abdominoscrotal hydrocele: insights into etiology

Abstract

Testicular dysmorphism (TD) associated with infantile abdominoscrotal hydrocele (ASH) may be due to the pressure effect of hydrocele on the testis or may be a developmental abnormality. Only a few reports are referred to the etiology of testicular changes in infantile ASH. We present an additional case of infantile ASH together with a review of the literature, focusing on insights into etiology of TD and its appropriate management.

Bilateral abdominoscrotal hydrocele in childhood

“…Secondary ureterohydronephrosis, lymphedema, acute bleeding, cryptorchism, transversal testicular ectopy, and pretesticular malignant mesothelioma can be linked to ASH [14]. Other differential diagnostic entities include mesenteric and enteric duplications, massive hydronephrosis with extension into pelvis, bladder diverticulum, and cystic ovarian neoplasm [5].…”

“…During surgical intervention, special attention is given to the protection of funicular elements and to ensure adequate hemostasis [3,14]. Surgery in ASH is not a simple procedure, review Cuervo et al [3,14]. Large, tense, protruding, thickened wall hydrocele makes it difficult to separate the surrounding structures, like spermatic cord elements.…”